Tania M Niclas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3584 W 9000 S
Jordan Valley Medical Center Physical Therapy Suite 102
West Jordan, UT 84088-5710

Phone

(801) 601-2309

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1083788632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12799 ASPEN SPRINGS DR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967339",
            "telephone_number": "801-254-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S",
            "address_2": "JORDAN VALLEY MEDICAL CENTER PHYSICAL THERAPY SUITE 102",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885710",
            "telephone_number": "801-601-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICLAS",
        "first_name": "TANIA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D6951",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hau Andy Nguyen, OD
• Julie Nguyen
• Alexander Joseph Nicholson, MD
• Madeline Nicholson
• Marshall Nickel, MD
• John Nielsen, FNP
• Katrina Nielsen
• Nicole Page Nielsen, PA-C
• Sophia Nielsen
• Tyson Nielsen

• Physical Therapist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.