Ryan Hacking, OTRL

Primary specialty

ContractorTaxonomy code 171W00000X

License

4971361-4201 Issued in UT

Practice address

2314 Peppercorn Rd
Lehi, UT 84043-4772

Phone

(801) 660-7613

Fax

(801) 407-6577

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306981063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 PEPPERCORN RD",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 PEPPERCORN RD",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434772",
            "telephone_number": "801-660-7613",
            "fax_number": "801-407-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKING",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "UT",
            "license": "4971361-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Terrell Gunnell, D.C.
• Paul Jene Gustin, DO
• Katya Gutierrez Tenorio
• Brooke Gutke, RBT
• Katie Beth Habecker, ATC
• Brett James Haderlie, D.C.
• Randal Hadfield, D.D.S.
• Tara Haight
• Marianne Haines, DNP
• Michelle Shelley Harlene Hale-Byington, NP

• Contractor in Lehi, UT
• Providers in Lehi, UT by specialty
• Contractor in Utah

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.