Active NPI
Brianna Lasita
- Occupational Therapist
- Salt Lake City, UT
National Provider Identifier
1215633607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13161916-4201
- Practice address
- 1212 E Wilmington Ave
Salt Lake City, UT 84106-2851 - Phone
- (801) 486-6000
- NPI assigned
- Feb 7, 2023
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13161916-4201 | UT | Primary |
Addresses
Primary practice location
1212 E Wilmington Ave
Salt Lake City, UT 84106-2851
Mailing address
847 E Emerson Ave
Salt Lake City, UT 84105-2218
Phone (631) 880-2272
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13161916-4201 | UT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1215633607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 E EMERSON AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841052218",
"telephone_number": "631-880-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 E WILMINGTON AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841062851",
"telephone_number": "801-486-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASITA",
"first_name": "BRIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-07",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "13161916-4201",
"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 Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.