Active NPI
Wasatch Therapy Inc
- Physical Therapist
- Roy, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 109421-2401
- Legal business name
- WASATCH THERAPY INC
- Practice address
- 1957 W 5700 S
Roy, UT 84067-2303 - Phone
- (801) 774-8600
- Fax
- (801) 774-8681
- NPI assigned
- Jun 21, 2007
- Last updated
- Oct 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Itaaehau, DPT
- Title
- Owner
- Phone
- (801) 479-9865
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 109421-2401 | UT | Primary |
Addresses
Primary practice location
1957 W 5700 S
Roy, UT 84067-2303
Mailing address
5360 S 1900 W Ste B3
Roy, UT 84067-2980
Phone (801) 774-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040802000797 | UT | Part B Supplier - Clinic/Group Practice | 3476524760 |
Receives reassigned benefits from 10 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Farmington, UT; Layton, UT; Ogden, UT; Roy, UT |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Wasatch Therapy Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Layton, UT
- NPI 1235482977
-
- Physical Therapy Clinic/Center
- Ogden, UT
- NPI 1700985249
-
- Physical Therapy Clinic/Center
- Farmington, UT
- NPI 1780894485
Locations
1957 W 5700 S
Roy, UT 84067
Phone (801) 774-8600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Ogden, UT
- NPI 1043319528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792368000000",
"number": "1093911737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5360 S 1900 W STE B3",
"city": "ROY",
"state": "UT",
"postal_code": "840672980",
"telephone_number": "801-774-8600",
"fax_number": "801-774-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1957 W 5700 S",
"city": "ROY",
"state": "UT",
"postal_code": "840672303",
"telephone_number": "801-774-8600",
"fax_number": "801-774-8681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASATCH THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-21",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A",
"authorized_official_last_name": "ITAAEHAU",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-479-9865",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "UT",
"license": "109421-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.