NPIMap

Organization Active NPI

Summit Spa & Float - Eagle Mountain LLC

  • Health Service Clinic/Center
  • Eagle Mountain, UT
National Provider Identifier
1154048650
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SUMMIT SPA & FLOAT - EAGLE MOUNTAIN LLC
Practice address
3435 E Pony Express Pkwy Ste 120
Eagle Mountain, UT 84005-5520
Phone
(801) 996-7911
NPI assigned
Oct 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Mrs. Katrina Gubler Long, L.M.T.
Title
Co-Owner/Cfo
Phone
(435) 660-9623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3435 E Pony Express Pkwy Ste 120
Eagle Mountain, UT 84005-5520

Mailing address

63 E 800 N
Spanish Fork, UT 84660-1210
Phone (435) 660-9623

National Provider Directory

National Provider Directory

Locations

3435 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 996-7911

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1154048650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E 800 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601210",
            "telephone_number": "435-660-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 E PONY EXPRESS PKWY STE 120",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055520",
            "telephone_number": "801-996-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SPA & FLOAT - EAGLE MOUNTAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "GUBLER",
        "authorized_official_title_or_position": "CO-OWNER/CFO",
        "authorized_official_telephone_number": "435-660-9623",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.