Active NPI
Jenifer Rebecca Nilson Smith, P.T.
- Physical Therapist
- Washington Terrace, UT
National Provider Identifier
1053784520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 295029-2401
- Practice address
- 5648 S. Adams Ave
Washington Terrace, UT 84405 - Phone
- (801) 475-0500
- NPI assigned
- Nov 5, 2015
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 295029-2401 | UT | Primary |
Addresses
Primary practice location
5648 S. Adams Ave
Washington Terrace, UT 84405
Mailing address
5648 S Adams Avenue
Washington Terrace, UT 84405
Phone (801) 475-0500
Other names 1
- Jenifer Rebecca Nilson
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1053784520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5648 S ADAMS AVENUE",
"city": "WASHINGTON TERRACE",
"state": "UT",
"postal_code": "84405",
"telephone_number": "801-475-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5648 S. ADAMS AVE",
"city": "WASHINGTON TERRACE",
"state": "UT",
"postal_code": "84405",
"telephone_number": "801-475-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JENIFER",
"middle_name": "REBECCA NILSON",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "295029-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENIFER",
"last_name": "NILSON",
"middle_name": "REBECCA",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Washington Terrace, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.