Active NPI
Susan R McLaughlin, MPT
- Physical Therapist
- Salt Lake City, UT
National Provider Identifier
1205964509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 317790-2401
- Practice address
- 1515 S 1100 E
Salt Lake City, UT 84105-2424 - Phone
- (801) 859-4142
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 317790-2401 | UT | Primary |
Addresses
Primary practice location
1515 S 1100 E
Salt Lake City, UT 84105-2424
Mailing address
724 E Ramona Ave
Salt Lake City, UT 84105-3121
Phone (801) 859-4142
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
| License | State | Type | Specialty |
|---|---|---|---|
| 317790-2401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1205964509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 E RAMONA AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841053121",
"telephone_number": "801-859-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 S 1100 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841052424",
"telephone_number": "801-859-4142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "SUSAN",
"middle_name": "R",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "317790-2401",
"primary": true
}
],
"identifiers": [],
"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 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.