NPIMap

Individual provider Active NPI

James H Jorgensen, O.T.

  • Occupational Therapist
  • Richfield, UT
National Provider Identifier
1316974108
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
328293-2401 Issued in UT
Practice address
80 E 1000 N Ste a
Richfield, UT 84701-1870
Phone
(435) 896-6653
Fax
(435) 896-6662
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 328293-2401 UT Primary

Addresses

Primary practice location

80 E 1000 N Ste a
Richfield, UT 84701-1870

Mailing address

80 E 1000 N Ste a
Richfield, UT 84701-1870
Phone (435) 896-6653

Other identifiers 4

IdentifierTypeStateIssuer
423196OtherUTPEHP
870384752005MedicaidUT
D1785MedicaidUT
225249OtherUTSELECT HEALTH CARE

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
328293-2401UTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Utah Physical Therapy Services Inc Past Accepting new patients
Central Utah Physical Therapy Services Inc Past Accepting new patients

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, 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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1316974108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E 1000 N STE A",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011870",
            "telephone_number": "435-896-6653",
            "fax_number": "435-896-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E 1000 N STE A",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011870",
            "telephone_number": "435-896-6653",
            "fax_number": "435-896-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "JAMES",
        "middle_name": "H",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "328293-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "423196",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870384752005",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D1785",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH CARE",
            "identifier": "225249",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.