Individual provider Active NPI

Justin Douglas Lindner, OTR/L, MOT, CHT

  • Hand Occupational Therapist
  • Ogden, UT
National Provider Identifier
1033625819
Registry record updated Sep 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
8354358-4201 Issued in UT
Practice address
5782 Adams Ave Pkwy
Ogden, UT 84405
Phone
(801) 917-8080
NPI assigned
Dec 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 295727 OR
Hand Occupational Therapist 225XH1200X 295727 OR
Hand Occupational Therapist 225XH1200X 8354358-4201 UT Primary

Addresses

Primary practice location

5782 Adams Ave Pkwy
Ogden, UT 84405

Mailing address

5782 Adams Ave Pkwy
Ogden, UT 84405-6947
Phone (801) 917-8080

Other practice location 1

2700 NW Stewart Pkwy Ste 100
Roseburg, OR 97471-1281
Phone (541) 677-4546

Other practice location 2

2700 NW Stewart Pkwy Ste 100
Roseburg, OR 97471-1281
Phone (541) 677-4546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180308001455 UT Practitioner - Occupational Therapist in Private Practice 7517228505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Orthopaedics LLCGroup PAC ID 8325170681, 5 clinicians

Practice addresses (Care Compare)

5782 Adams Ave Pkwy
Suite 200
Washington Terrace, UT 84405-6947
Phone (801) 917-8000

Merit-based Incentive Payment System (MIPS)

Final score
52.74 of 100Reported as group
Quality
0
Improvement activities
40
Cost
75.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
295727ORMDOccupational Therapist
8354358-4201UTMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Orthopaedics LLC CurrentSince Feb 16, 2018 Accepting new patients

Locations

5782 Adams Avenue Pkwy
Ste 200
Washington Tr, UT 84405
Phone (801) 917-8000

5782 Adams Avenue Pkwy
Washington Tr, UT 84405
Phone (801) 917-8000

8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26334/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535932800000",
    "number": "1033625819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5782 ADAMS AVE PKWY",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056947",
            "telephone_number": "801-917-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5782 ADAMS AVE PKWY",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-917-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 NW Stewart Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974711281",
            "country_code": "US",
            "telephone_number": "541-677-4546",
            "fax_number": "541-677-4547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 NW Stewart Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974711281",
            "country_code": "US",
            "telephone_number": "541-677-4546",
            "fax_number": "541-677-4547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDNER",
        "first_name": "JUSTIN",
        "middle_name": "DOUGLAS",
        "credential": "OTR/L, MOT, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-16",
        "last_updated": "2018-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "295727",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "295727",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "UT",
            "license": "8354358-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.