Individual provider Active NPI

Annjanene Ojeda

  • Massage Therapist
  • Salt Lake City, UT
National Provider Identifier
1235757303
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10235164-4701 Issued in UT
Practice address
825 E 4800 S Ste 136
Salt Lake City, UT 84107-5545
Phone
(801) 897-8711
Fax
(385) 333-7202
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 10235164-4701 UT Primary

Addresses

Primary practice location

825 E 4800 S Ste 136
Salt Lake City, UT 84107-5545

Mailing address

6112 S 1550 E Ste 203
South Ogden, UT 84405-5010
Phone (801) 897-8711

Other practice location 1

6112 S 1550 E Ste 203
South Ogden, UT 84405-5010
Phone (801) 897-8711

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

Practice roles

OrganizationSpecialtyStatusNew patients
Structura Body Therapies, LLC CurrentSince Jul 12, 2020 Accepting new patients

Locations

6112 S 1550 E
Ste 203
South Ogden, UT 84405
Phone (801) 897-8711

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1235757303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E STE 203",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844055010",
            "telephone_number": "801-897-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E 4800 S STE 136",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075545",
            "telephone_number": "801-897-8711",
            "fax_number": "385-333-7202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6112 S 1550 E Ste 203",
            "address_purpose": "LOCATION",
            "city": "South Ogden",
            "state": "UT",
            "postal_code": "844055010",
            "country_code": "US",
            "telephone_number": "801-897-8711",
            "fax_number": "385-333-7202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OJEDA",
        "first_name": "ANNJANENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "10235164-4701",
            "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 Jul 30, 2020; 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.