NPIMap

Organization Active NPI

Wasatch Therapy Inc

  • Physical Therapy Clinic/Center
  • Layton, UT
National Provider Identifier
1235482977
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WASATCH THERAPY INC
Practice address
1916 N 700 W Ste 240
Layton, UT 84041-5864
Phone
(801) 784-7373
Fax
(801) 784-7532
NPI assigned
Oct 18, 2012
Last updated
Jan 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Melissa Arlene Ita'Aehau, PTNPI 1043319528
Title
DPT / Owner
Phone
(801) 479-9865

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

1916 N 700 W Ste 240
Layton, UT 84041-5864

Mailing address

5349 Adams Ave Pkwy
Suite a
Ogden, UT 84405-4736
Phone (801) 479-9865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040802000797 UT Part B Supplier - Clinic/Group Practice 3476524760 Receives reassigned benefits from 10 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Farmington, UT; Layton, UT; Ogden, UT; Roy, UT

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Wasatch Therapy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

42 N 650 W
Ste A
Farmington, UT 84025
Phone (801) 447-9627

1916 N 700 W
Ste 215
Layton, UT 84041
Phone (801) 479-9865

505 E Gentile St
Layton, UT 84041
Phone (801) 593-8300

5405 S 500 E
#100
Ogden, UT 84405
Phone (801) 475-8600

1957 W 5700 S
Roy Ctr
Roy, UT 84067
Phone (801) 774-8600

1967 W 5700 S
Roy, UT 84067
Phone (801) 774-8600

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1235482977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 ADAMS AVE PKWY",
            "address_2": "SUITE A",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054736",
            "telephone_number": "801-479-9865",
            "fax_number": "801-479-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 N 700 W STE 240",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415864",
            "telephone_number": "801-784-7373",
            "fax_number": "801-784-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "ITA'AEHAU",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "DPT / OWNER",
        "authorized_official_telephone_number": "801-479-9865",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.