NPIMap

Organization Active NPI

Structura Body Therapies, LLC

  • Specialist
  • South Ogden, UT
National Provider Identifier
1124401443
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7760739-4701 Issued in UT
Legal business name
STRUCTURA BODY THERAPIES, LLC
Practice address
6112 S 1550 E
203
South Ogden, UT 84405-5007
Phone
(801) 897-8711
Fax
(801) 475-1795
NPI assigned
Jul 6, 2015
Organization subpart
Yes
Parent organization
STRUCTURA HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Mrs. Nancy E. Prince, L.M.T, S.I.PNPI 1255006946
Title
Manager
Phone
(801) 888-0103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 7760739-4701 UT Primary

Addresses

Primary practice location

6112 S 1550 E
203
South Ogden, UT 84405-5007

Mailing address

6112 S 1550 E
203
South Ogden, UT 84405-5007
Phone (801) 897-8711

Other practice location 1

307 N 300 W Ste 203
Kaysville, UT 84037-1852
Phone (801) 897-8711

National Provider Directory

National Provider Directory

Locations

307 N 300 W
Ste 203
Kaysville, UT 84037
Phone (801) 897-8711

6112 S 1550 E
Ste 203
South Ogden, UT 84405
Phone (801) 897-8711

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1124401443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E",
            "address_2": "203",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844055007",
            "telephone_number": "801-897-8711",
            "fax_number": "801-475-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E",
            "address_2": "203",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844055007",
            "telephone_number": "801-897-8711",
            "fax_number": "801-475-1795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 N 300 W Ste 203",
            "address_purpose": "LOCATION",
            "city": "Kaysville",
            "state": "UT",
            "postal_code": "840371852",
            "country_code": "US",
            "telephone_number": "801-897-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STRUCTURA BODY THERAPIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STRUCTURA HOLDINGS, LLC",
        "enumeration_date": "2015-07-06",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-888-0103",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.T, S.I.P"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "7760739-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.