Active NPI
Jewelianna Rae Willden, PTA
- Physical Therapy Assistant
- Springville, UT
National Provider Identifier
1275469660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 142015022402
- Practice address
- 655 E 400 S Ste D
Springville, UT 84663-2039 - Phone
- (385) 398-1915
- NPI assigned
- Jun 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 142015022402 | UT | Primary |
Addresses
Primary practice location
655 E 400 S Ste D
Springville, UT 84663-2039
Mailing address
1200 E 520 S
Provo, UT 84606-5338
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1275469660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E 520 S",
"city": "PROVO",
"state": "UT",
"postal_code": "846065338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 E 400 S STE D",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846632039",
"telephone_number": "385-398-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLDEN",
"first_name": "JEWELIANNA",
"middle_name": "RAE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-22",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "UT",
"license": "142015022402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.