Active NPI
Jennifer Lynn Thomas, OTR
- Specialist
- Salt Lake City, UT
National Provider Identifier
1245381763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 335777-4201
- Practice address
- 1138 Wilmington Ave
Salt Lake City, UT 84106-2819 - Phone
- (801) 581-2221
- NPI assigned
- Jan 12, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 335777-4201 | UT | Primary |
Addresses
Primary practice location
1138 Wilmington Ave
Salt Lake City, UT 84106-2819
Mailing address
PO Box 510721
Salt Lake City, UT 84151-0721
Phone (801) 587-6872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335777-4201 | Other | UT | PROFESSIONAL STATE LICENS |
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 |
|---|---|---|---|
| 335777-4201 | UT | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245381763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510721",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841510721",
"telephone_number": "801-587-6872",
"fax_number": "801-587-6675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 WILMINGTON AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841062819",
"telephone_number": "801-581-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "UT",
"license": "335777-4201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL STATE LICENS",
"identifier": "335777-4201",
"state": "UT"
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.