Organization Active NPI

Jim Felt P.T., Inc.

  • Physical Therapist
  • South Ogden, UT
National Provider Identifier
1184813008
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
102840-2401 Issued in UT
Legal business name
JIM FELT P.T., INC.
Practice address
5734 South 1475 East
#300
South Ogden, UT 84403-4698
Phone
(801) 475-7628
Fax
(801) 475-7639
NPI assigned
Oct 16, 2007
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
James G Felt, PT
Title
Owner
Phone
(801) 475-7628

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 102840-2401 UT Primary
Physical Therapist 225100000X 106176-2401 UT

Addresses

Primary practice location

5734 South 1475 East
#300
South Ogden, UT 84403-4698

Mailing address

5734 S 1475 E
Suite 300
South Ogden, UT 84403-4596
Phone (801) 475-7628

Other names 1

  • Felt Mountain Land, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

5734 S 1475 E
Ste 300
South Ogden, UT 84403
Phone (801) 475-5210

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1184813008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 S 1475 E",
            "address_2": "SUITE 300",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034596",
            "telephone_number": "801-475-7628",
            "fax_number": "801-475-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 SOUTH 1475 EAST",
            "address_2": "#300",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034698",
            "telephone_number": "801-475-7628",
            "fax_number": "801-475-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM FELT P.T., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "FELT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-475-7628",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "102840-2401",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "106176-2401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Felt Mountain Land, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.