Active NPI
Wasatch Orthotics & Pedorthics, LLC
- Prosthetic/Orthotic Supplier
- Salt Lake City, UT
National Provider Identifier
1164418505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- WASATCH ORTHOTICS & PEDORTHICS, LLC
- Practice address
- 887 E Vine St
Salt Lake City, UT 84107-6515 - Phone
- (801) 293-8777
- Fax
- (801) 293-0231
- NPI assigned
- Sep 21, 2005
- Organization subpart
- Yes
- Parent organization
- HANGER ORTHOPEDIC GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sheryl S Price
- Title
- Director of Reimbursement
- Phone
- (503) 493-8288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
887 E Vine St
Salt Lake City, UT 84107-6515
Mailing address
887 E Vine St
Salt Lake City, UT 84107-6515
Phone (801) 293-8777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QM0000036359 | Other | ALTIUS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282089600000",
"number": "1164418505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "887 E VINE ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841076515",
"telephone_number": "801-293-8777",
"fax_number": "801-293-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "887 E VINE ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841076515",
"telephone_number": "801-293-8777",
"fax_number": "801-293-0231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASATCH ORTHOTICS & PEDORTHICS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANGER ORTHOPEDIC GROUP",
"enumeration_date": "2005-09-21",
"last_updated": "2010-08-18",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "SHERYL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
"authorized_official_telephone_number": "503-493-8288",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000036359",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
- Wasatch Health Solutions
- Wasatch Hematology / Oncology Associates, P.C.
- Wasatch Homeless Health Care, Inc.
- Wasatch Infusion Services, Inc.
- Wasatch Nurse Practitioner Services
- Wasatch Pediatric Neuropsychology
- Wasatch Pediatrics - Salt Lake Dental
- Wasatch Periodontal Specialists LLC
- Wasatch Physical Therapy & Rehabilitation, Inc
- Wasatch Physical Therapy and Rehabilation Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.