Active NPI
Mary Lee Hardy, LMT
- Specialist
- Murray, UT
National Provider Identifier
1043234891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 350595-4701
- Practice address
- 345 E 4500 S
Suite 120
Murray, UT 84107-3991 - Phone
- (801) 268-4216
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 350595-4701 | UT | Primary |
Addresses
Primary practice location
345 E 4500 S
Suite 120
Murray, UT 84107-3991
Mailing address
312 Hubbard Ave
Salt Lake City, UT 84111-4321
Phone (801) 933-5113
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 |
|---|---|---|---|
| 350595-4701 | UT | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043234891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 HUBBARD AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841114321",
"telephone_number": "801-933-5113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E 4500 S",
"address_2": "SUITE 120",
"city": "MURRAY",
"state": "UT",
"postal_code": "841073991",
"telephone_number": "801-268-4216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "MARY",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "UT",
"license": "350595-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.