Active NPI
Tyler Sase
- Occupational Therapy Assistant
- North Ogden, UT
National Provider Identifier
1134317019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 52017004202
- Practice address
- 3893 N Jackson Ave
North Ogden, UT 84414-6502 - Phone
- (801) 726-9742
- NPI assigned
- Oct 4, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 52017004202 | UT | Primary |
Addresses
Primary practice location
3893 N Jackson Ave
North Ogden, UT 84414-6502
Mailing address
269 E 1150 N
Harrisville, UT 84404-4082
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 |
|---|---|---|---|
| 52017004202 | UT | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thatcher Brook Outpatient Therapy LLC | Current | Accepting new patients |
Locations
1795 Chelemes Way
Clearfield, UT 84015
Phone (801) 546-4368
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.
-
- Physical Therapy Clinic/Center
- Clearfield, UT
- NPI 1316721285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1134317019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 E 1150 N",
"city": "HARRISVILLE",
"state": "UT",
"postal_code": "844044082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3893 N JACKSON AVE",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844146502",
"telephone_number": "801-726-9742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASE",
"first_name": "TYLER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-04",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "UT",
"license": "52017004202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.