Thomas Motuga

Key facts

NPI

1174415541

Entity type

Individual (NPI type 1)

Primary specialty

Community Health Worker 172V00000X

Practice address

2240 N Hwy 89 Ste C
Harrisville, UT 84404-2824

Phone

(877) 393-6232

NPI assigned

Jul 18, 2025

Sex

Male

Sole proprietor

Yes

Organizations & group practices 1

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.

• Quality Youth Services Mental Health Clinic/Center (Including Community Mental Health Center) · Harrisville, UT · NPI 1023335890
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 18, 2025.

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1174415541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 N HWY 89 STE C",
            "city": "HARRISVILLE",
            "state": "UT",
            "postal_code": "844042824",
            "telephone_number": "877-393-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 N HWY 89 STE C",
            "city": "HARRISVILLE",
            "state": "UT",
            "postal_code": "844042824",
            "telephone_number": "877-393-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTUGA",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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