Individual provider Active NPI

Christine Ulses, DPT

  • Physical Therapist
  • South Jordan, UT
National Provider Identifier
1154770097
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9823202-2401 Issued in UT
Practice address
1098 W South Jordan Pkwy
Suite 101
South Jordan, UT 84095-9366
Phone
(801) 254-5800
Fax
(801) 254-1696
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9823202-2401 UT Primary

Addresses

Primary practice location

1098 W South Jordan Pkwy
Suite 101
South Jordan, UT 84095-9366

Mailing address

1098 W South Jordan Pkwy
Suite 101
South Jordan, UT 84095-9366
Phone (801) 254-5800

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

LicenseStateTypeSpecialty
9823202-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orr Training & Therapy Services, LLC Physical Therapist PastSince Nov 19, 2014 Accepting new patients
Ultimate Sports Regenerative Medicine PastSince Oct 23, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1154770097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 W SOUTH JORDAN PKWY",
            "address_2": "SUITE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959366",
            "telephone_number": "801-254-5800",
            "fax_number": "801-254-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W SOUTH JORDAN PKWY",
            "address_2": "SUITE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959366",
            "telephone_number": "801-254-5800",
            "fax_number": "801-254-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULSES",
        "first_name": "CHRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "9823202-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.