Active NPI
Elaine Souza Gomides, M.S.P.T.
- Developmental Therapist
- Lehi, UT
National Provider Identifier
1326298738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- PT28315
- Practice address
- 4289 N 400 W
Lehi, UT 84043-4997 - Phone
- (954) 871-1307
- NPI assigned
- Sep 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 026072 | NY | |
| Developmental Therapist | 222Q00000X | PT28315 | FL | Primary |
| Pediatric Physical Therapist | 2251P0200X | 40QA01115300 | NJ |
Addresses
Primary practice location
4289 N 400 W
Lehi, UT 84043-4997
Mailing address
4289 N 400 W
Lehi, UT 84043-4997
Phone (954) 871-1307
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT28315 | FL | MD | Developmental Therapist |
| 40QA01115300 | NJ | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1326298738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4289 N 400 W",
"city": "LEHI",
"state": "UT",
"postal_code": "840434997",
"telephone_number": "954-871-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4289 N 400 W",
"city": "LEHI",
"state": "UT",
"postal_code": "840434997",
"telephone_number": "954-871-1307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMIDES",
"first_name": "ELAINE",
"middle_name": "SOUZA",
"credential": "M.S.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-22",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "026072",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "PT28315",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NJ",
"license": "40QA01115300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.