Active NPI
Katy Krystine Hancock, CTRS
- Recreation Therapist
- Salt Lake City, UT
National Provider Identifier
1093659666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 7751655-4002
- Practice address
- 3624 E Brighton Point Dr
Salt Lake City, UT 84121-5513 - Phone
- (801) 831-8463
- NPI assigned
- Apr 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 7751655-4002 | UT | Primary |
Addresses
Primary practice location
3624 E Brighton Point Dr
Salt Lake City, UT 84121-5513
Mailing address
343 W 2350 S
Washington, UT 84780-2278
Phone (801) 368-9041
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 |
|---|---|---|---|
| 7751655-4002 | UT | MD | Recreation Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Recreation Connections Corp | Recreation Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Recreation Therapist
- Cottonwood Heights, UT
- NPI 1245067289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1093659666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 W 2350 S",
"city": "WASHINGTON",
"state": "UT",
"postal_code": "847802278",
"telephone_number": "801-368-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3624 E BRIGHTON POINT DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841215513",
"telephone_number": "801-831-8463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "KATY",
"middle_name": "KRYSTINE",
"name_prefix": "Miss",
"credential": "CTRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "UT",
"license": "7751655-4002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.