Individual provider Active NPI

Rhonda Lynn Roth, MOT, OTR/L

  • Occupational Therapist
  • Cottonwood Heights, UT
National Provider Identifier
1316192776
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-1301 Issued in ID
Practice address
7756 S Biscayne Dr
Cottonwood Heights, UT 84121-5310
Phone
(303) 817-8939
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-1301 ID Primary
Pediatric Occupational Therapist 225XP0200X OT-1301 ID

Addresses

Primary practice location

7756 S Biscayne Dr
Cottonwood Heights, UT 84121-5310

Mailing address

7756 S Biscayne Dr
Cottonwood Heights, UT 84121-5310
Phone (303) 817-8939

Other names 1

  • Ms. Rhonda Lynn Merrell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rroth305167@direct.med.utah.edu Direct UNIVERSITY OF UTAH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-1301IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children in Motion, LLC Occupational Therapist CurrentSince Oct 1, 2021 Accepting new patients

Locations

5284 S Commerce Dr
Ste C214
Murray, UT 84107
Phone (801) 462-1588

Interoperability endpoints

  • Direct secure messaging: rroth305167@direct.med.utah.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1316192776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7756 S BISCAYNE DR",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215310",
            "telephone_number": "303-817-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7756 S BISCAYNE DR",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215310",
            "telephone_number": "303-817-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "RHONDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-1301",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "license": "OT-1301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rroth305167@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "MERRELL",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MOTR, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.