Active NPI
Tyler James Hamilton
- Massage Therapist
- Draper, UT
National Provider Identifier
1043069412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13967953-4701
- Practice address
- 14201 S Molasses Mill Dr
Draper, UT 84020-7581 - Phone
- (801) 702-3344
- NPI assigned
- May 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13967953-4701 | UT | Primary |
Addresses
Primary practice location
14201 S Molasses Mill Dr
Draper, UT 84020-7581
Mailing address
14201 S Molasses Mill Dr
Draper, UT 84020-7581
Phone (801) 702-3344
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13967953-4701 | UT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uintah Manual Therapy | Single Specialty | Current | Accepting new patients |
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": "1715817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1043069412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 S MOLASSES MILL DR",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207581",
"telephone_number": "801-702-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 S MOLASSES MILL DR",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207581",
"telephone_number": "801-702-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "TYLER",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-16",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "UT",
"license": "13967953-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.