Organization Active NPI

Wasatch Orthotics & Pedorthics, LLC

  • Prosthetic/Orthotic Supplier
  • Salt Lake City, UT
National Provider Identifier
1164418505
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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 GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
QM0000036359OtherALTIUS

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.