Active NPI
Ricardo Javier Quilaguy
- Physical Therapy Assistant
- Taylorsville, UT
National Provider Identifier
1023936622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14216136-2402
- Practice address
- 2195 W 5400 S Ste 105
Taylorsville, UT 84129-1433 - Phone
- (385) 255-8255
- NPI assigned
- Jul 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14216136-2402 | UT | Primary |
Addresses
Primary practice location
2195 W 5400 S Ste 105
Taylorsville, UT 84129-1433
Mailing address
1812 W 4100 S Unit E338
West Valley City, UT 84119-4796
Phone (786) 830-5230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1023936622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 W 4100 S UNIT E338",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841194796",
"telephone_number": "786-830-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 W 5400 S STE 105",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841291433",
"telephone_number": "385-255-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILAGUY",
"first_name": "RICARDO",
"middle_name": "JAVIER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-09",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "UT",
"license": "14216136-2402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.