Fascial Therapies

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FASCIAL THERAPIES

Practice address

1401 N 1075 W Ste 220
Farmington, UT 84025-2745

Phone

(385) 244-8060

Fax

(385) 422-8990

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Hervey

Title

Ceo

Phone

(801) 452-8007

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1265189120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N 1075 W",
            "address_2": "STE 220",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "84025",
            "telephone_number": "801-452-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N 1075 W STE 220",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252745",
            "telephone_number": "385-244-8060",
            "fax_number": "385-422-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASCIAL THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "HERVEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-452-8007"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Diane Farmer, LCSW
• Farmington City Corp (Farmington Fire/Ambulance)
• Farmington Derm LLC
• Farmington Family Medicine PC
• Farmington Physical Therapy PC
• Jane A Fenton, MS, CCC-SLP
• Adelaine Keller Ferreira, CSW
• Stan M Fillmore, LCSW
• Flag Rock Medical LLC
• Diana Fletcher, PA-C

• Physical Medicine & Rehabilitation Physician in Farmington, UT
• Providers in Farmington, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.