Organization Active NPI

Katie Tansock, LLC

  • Physical Therapy Clinic/Center
  • SLC, UT
National Provider Identifier
1225735400
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KATIE TANSOCK, LLC
Practice address
352 S Denver St Ste 310
SLC, UT 84111-3053
Phone
(801) 413-3857
NPI assigned
Feb 8, 2023
Last updated
Feb 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Katelyn TansockNPI 1891161535
Title
Physical Therapist
Phone
(435) 760-4681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

352 S Denver St Ste 310
SLC, UT 84111-3053

Mailing address

4230 S Sovereign Way
Holladay, UT 84124-3138
Phone (435) 760-4681

Other practice location 1

4230 S Sovereign Way
Holladay, UT 84124-3138
Phone (435) 760-4681

National Provider Directory

National Provider Directory

Locations

352 S Denver St
Ste 310
Slc, UT 84111
Phone (574) 453-8548

Practitioners & affiliated clinicians

Practitioners 1

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": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1225735400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 S SOVEREIGN WAY",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841243138",
            "telephone_number": "435-760-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S DENVER ST STE 310",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841113053",
            "telephone_number": "801-413-3857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4230 S Sovereign Way",
            "address_purpose": "LOCATION",
            "city": "Holladay",
            "state": "UT",
            "postal_code": "841243138",
            "country_code": "US",
            "telephone_number": "435-760-4681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATIE TANSOCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "TANSOCK",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "435-760-4681"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in SLC, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.