Active NPI
Marie Perkins, MA,LAT,ATC
- Athletic Trainer
- Bountiful, UT
National Provider Identifier
1083079909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 6781500-4810
- Practice address
- 280 N Main St
Bountiful, UT 84010-6136 - Phone
- (801) 298-2495
- NPI assigned
- Dec 18, 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 6781500-4810 | UT | Primary |
Addresses
Primary practice location
280 N Main St
Bountiful, UT 84010-6136
Mailing address
788 W 2275 N
Layton, UT 84041-5306
Phone (801) 644-8872
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6781500-4810 | UT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1083079909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "788 W 2275 N",
"city": "LAYTON",
"state": "UT",
"postal_code": "840415306",
"telephone_number": "801-644-8872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N MAIN ST",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840106136",
"telephone_number": "801-298-2495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "MARIE",
"credential": "MA,LAT,ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-18",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "6781500-4810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.