Active NPI
Darian Wilks, PTA
- Occupational Therapist
- Price, UT
National Provider Identifier
1255781035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 96759824201
- Practice address
- 590 E 100 N Ste 1
Price, UT 84501-2600 - Phone
- (435) 613-1500
- Fax
- (435) 613-1501
- NPI assigned
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 9675982-2402 | UT | |
| Occupational Therapist | 225X00000X | 96759824201 | UT | Primary |
Addresses
Primary practice location
590 E 100 N Ste 1
Price, UT 84501-2600
Mailing address
590 E 100 N Ste 1
Price, UT 84501-2600
Phone (435) 613-1500
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 |
|---|---|---|---|
| 9675982-2402 | UT | MD | Physical Therapy Assistant |
| 96759824201 | UT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1255781035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 E 100 N STE 1",
"city": "PRICE",
"state": "UT",
"postal_code": "845012600",
"telephone_number": "435-613-1500",
"fax_number": "435-613-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 E 100 N STE 1",
"city": "PRICE",
"state": "UT",
"postal_code": "845012600",
"telephone_number": "435-613-1500",
"fax_number": "435-613-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKS",
"first_name": "DARIAN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-13",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "UT",
"license": "9675982-2402",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "96759824201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Price, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.