Individual provider Active NPI

Robyn Marie Judd, DPT

  • Physical Therapist
  • Ogden, UT
National Provider Identifier
1295834679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5946448-2401 Issued in UT
Practice address
5349 S Adams Ave
Suite a
Ogden, UT 84405-4736
Phone
(801) 479-9865
Fax
(801) 479-5846
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5946448-2401 UT Primary

Addresses

Primary practice location

5349 S Adams Ave
Suite a
Ogden, UT 84405-4736

Mailing address

5349 S Adams Ave
Suite a
Ogden, UT 84405-4736
Phone (801) 479-9865

Other identifiers 1

IdentifierTypeStateIssuer
870502207001MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081216000424 UT Practitioner - Physical Therapist in Private Practice 0345302964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wasatch Therapy IncGroup PAC ID 3476524760, 10 clinicians

Practice addresses (Care Compare)

1916 N 700
Suite 240
Layton, UT 84041-5864
Phone (801) 784-7373

5349 Adams Ave Pkwy
Suite a
Ogden, UT 84405-4736
Phone (801) 479-9865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wasatch Therapy Inc Physical Therapist CurrentSince Jul 7, 2005 Accepting new patients
Wasatch Therapy Inc CurrentSince Jul 7, 2005 Accepting new patients

Locations

1916 N 700 W
Ste 240
Layton, UT 84041
Phone (801) 784-7373

5360 S 1900 W
Ste B3
Roy, UT 84067
Phone (801) 774-8600

5349 Adams Avenue Pkwy
Ste A
Washington Tr, UT 84405
Phone (801) 479-9865

Organizations & group practices 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295834679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 S ADAMS AVE",
            "address_2": "SUITE A",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054736",
            "telephone_number": "801-479-9865",
            "fax_number": "801-479-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5349 S ADAMS AVE",
            "address_2": "SUITE A",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054736",
            "telephone_number": "801-479-9865",
            "fax_number": "801-479-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "ROBYN",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "5946448-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870502207001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.