Active NPI
Britney Jorgen Nordfors, LMT
- Massage Therapist
- South Ogden, UT
National Provider Identifier
1063164168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 123943414701
- Practice address
- 5640 Wasatch Dr Ste E
South Ogden, UT 84403-4993 - Phone
- (801) 388-3640
- NPI assigned
- Jan 20, 2022
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 123943414701 | UT | Primary |
Addresses
Primary practice location
5640 Wasatch Dr Ste E
South Ogden, UT 84403-4993
Mailing address
5640 S. Wasatch Dr.
Ste E.
South Ogden, UT 84403
Phone (801) 388-3640
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 |
|---|---|---|---|
| 123943414701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1063164168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5640 S. WASATCH DR.",
"address_2": "STE E.",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "84403",
"telephone_number": "801-388-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5640 WASATCH DR STE E",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844034993",
"telephone_number": "801-388-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDFORS",
"first_name": "BRITNEY",
"middle_name": "JORGEN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "123943414701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.