NPIMap

Organization Active NPI

Sunshine Terrace Foundation, Inc

Doing business as Sunshine Terrace Outpatient Therapy

  • Physical Therapist
  • Logan, UT
National Provider Identifier
1306000856
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUNSHINE TERRACE FOUNDATION, INC
Doing business as
Sunshine Terrace Outpatient Therapy
Practice address
209 W 300 N
Logan, UT 84321-3809
Phone
(435) 716-8535
Fax
(435) 716-8558
NPI assigned
Jul 14, 2008
Last updated
Oct 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Ms. Kim Michelle Harmon
Title
Administrator
Phone
(435) 716-8553

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

209 W 300 N
Logan, UT 84321-3809

Mailing address

209 W 300 N
Logan, UT 84321-3809
Phone (435) 716-8535

Other names 1

  • Sunshine Terrace Outpatient Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081003000350 UT Part B Supplier - Clinic/Group Practice 2668415860 Receives reassigned benefits from 13 practitioners
Practice locations: Logan, UT

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Terrace Founda5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Milford Memorial HospitalLogan, UT, CCN 465079 Skilled nursing facility Operational/Managerial Control (100%) Oct 2, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1306000856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W 300 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213809",
            "telephone_number": "435-716-8535",
            "fax_number": "435-716-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 300 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213809",
            "telephone_number": "435-716-8535",
            "fax_number": "435-716-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE TERRACE FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-716-8553",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Terrace Outpatient Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunshine Terrace Outpatient Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.