Active NPI
Genevieve Noelle Olivier, PT, DPT, NCS
- Physical Therapist
- Salt Lake City, UT
National Provider Identifier
1053820001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8681805-2401
- Practice address
- 520 S Wakara Way
Salt Lake City, UT 84108-1213 - Phone
- (801) 587-9161
- Fax
- (801) 587-7607
- NPI assigned
- Sep 21, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8681805-2401 | UT | Primary |
| Neurology Physical Therapist | 2251N0400X | 8681805-2401 | UT |
Addresses
Primary practice location
520 S Wakara Way
Salt Lake City, UT 84108-1213
Mailing address
Balance & Mobility Clinic
520 Wakara Way
Salt Lake City, UT 84108
Phone (801) 587-9161
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | golivier275505@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8681805-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients |
Locations
520 S Wakara Way
Slc, UT 84108
Phone (801) 585-7448
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
127 S 500 E
Ste 600
Slc, UT 84102
Organizations & group practices 3
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.
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- NPI 1326442179
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053820001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BALANCE & MOBILITY CLINIC",
"address_2": "520 WAKARA WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84108",
"telephone_number": "801-587-9161",
"fax_number": "801-587-7607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S WAKARA WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081213",
"telephone_number": "801-587-9161",
"fax_number": "801-587-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVIER",
"first_name": "GENEVIEVE",
"middle_name": "NOELLE",
"name_prefix": "Dr.",
"credential": "PT, DPT, NCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2022-07-21",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "8681805-2401",
"primary": true
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "UT",
"license": "8681805-2401",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "golivier275505@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "UNIVERSITY OF UTAH",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.