Thomas Roger Peay, PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

113517-3902 Issued in UT

Practice address

2559 Aspen Springs Dr
Park City, UT 84060-7538

Phone

(801) 376-8775

Fax

(435) 604-0461

NPI assigned

Feb 5, 2008

Last updated

Feb 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• T Roger Peay Therapy

  • Community/Behavioral Health Agency
  • Heber City, UT
  • NPI 1477109395
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1073791729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 ASPEN SPRINGS DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607538",
            "telephone_number": "801-376-8775",
            "fax_number": "435-604-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 ASPEN SPRINGS DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607538",
            "telephone_number": "801-376-8775",
            "fax_number": "435-604-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAY",
        "first_name": "THOMAS",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "113517-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Paul
• PC Pharmacy at the Clinic Inc (Park City Phcy at the Clinic)
• Penny Jean Peacock, M.D.
• Peak Performance Physical Therapy, PC (Peak Performance Sports Medicine)
• Steven Pearmain, PA.C
• Wade A Peers, D.D.S.
• Robert Eugene Pellegrine, MD
• Vannette Perkins, MD
• Kristen Michelle Perlmutter, S.S.W.
• Adam Robert Perreault, MED, ATC

• Professional Counselor in Park City, UT
• Providers in Park City, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.