NPIMap

Organization Active NPI

Sunshine Terrace Foundation, Inc

  • 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
Practice address
209 W 300 N
Logan, UT 84321-3809
Phone
(435) 716-8535
Fax
(435) 716-8558
NPI assigned
Jul 14, 2008
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 2

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

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

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

All facility ownership & control disclosures 1

Medicare enrollment files

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

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Terrace Foundation5 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.

Specialties & licenses 3

NPPES NPI Registry
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

NPPES NPI Registry

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

NPPES NPI Registry
  • Sunshine Terrace Outpatient Therapy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2022.

{
    "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.