Active NPI
Catherine Nolan Tibbs, TRS/CTRS
- Recreation Therapist
- Salt Lake City, UT
National Provider Identifier
1053585000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 6799420-4002
- Practice address
- 50 N Medical Dr
Attention Rehab Center Therapies
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2733
- Fax
- (801) 585-6234
- NPI assigned
- Apr 21, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 6799420-4002 | UT | Primary |
Addresses
Primary practice location
50 N Medical Dr
Attention Rehab Center Therapies
Salt Lake City, UT 84132-0001
Mailing address
50 N Medical Dr
Attention Rehab Center Therapies
Salt Lake City, UT 84132-0001
Phone (801) 581-2733
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 |
|---|---|---|---|
| 6799420-4002 | UT | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208736000000",
"number": "1053585000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N MEDICAL DR",
"address_2": "ATTENTION REHAB CENTER THERAPIES",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320001",
"telephone_number": "801-581-2733",
"fax_number": "801-585-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N MEDICAL DR",
"address_2": "ATTENTION REHAB CENTER THERAPIES",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320001",
"telephone_number": "801-581-2733",
"fax_number": "801-585-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIBBS",
"first_name": "CATHERINE",
"middle_name": "NOLAN",
"name_prefix": "Mrs.",
"credential": "TRS/CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-21",
"last_updated": "2008-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "UT",
"license": "6799420-4002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.