Active NPI
Paul Kekacs, LMT
- Massage Therapist
- Roy, UT
National Provider Identifier
1134549595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8107628-4701
- Practice address
- 3459 W 5400 S
Roy, UT 84067-9255 - Phone
- (801) 866-5478
- NPI assigned
- Apr 23, 2014
- Last updated
- Apr 23, 2014
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8107628-4701 | UT | Primary |
Addresses
Primary practice location
3459 W 5400 S
Roy, UT 84067-9255
Mailing address
3459 W 5400 S
Roy, UT 84067-9255
Phone (801) 866-5478
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 |
|---|---|---|---|
| 8107628-4701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1134549595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3459 W 5400 S",
"city": "ROY",
"state": "UT",
"postal_code": "840679255",
"telephone_number": "801-866-5478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3459 W 5400 S",
"city": "ROY",
"state": "UT",
"postal_code": "840679255",
"telephone_number": "801-866-5478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEKACS",
"first_name": "PAUL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-23",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "8107628-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roy, UT
- Laila Joyce
- Jaida Juntilla
- Alicia Kaiser
- Jacob Carl Kap, PT
- Bryan Kariya, D.D.S.
- Morgan Kelly
- Paige E Kelly, DMD
- Kelson Physician Partner's of Layton, Inc. (Wee Care Pediatrics)
- Kelson Physician Partners of Layton, Inc. (Wee Care Pediatrics)
- Kelson Physijcian Partners of Layton, Inc (Wee Care Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.