Individual provider Active NPI

Rachel Amanda Smith, MAT, LAT, ATC

  • Athletic Trainer
  • Cottonwood Heights, UT
National Provider Identifier
1326903139
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
13538998-4810 Issued in UT
Practice address
2220 E Bengal Blvd
Cottonwood Heights, UT 84121-5099
Phone
(801) 826-5800
NPI assigned
Dec 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 13538998-4810 UT Primary

Addresses

Primary practice location

2220 E Bengal Blvd
Cottonwood Heights, UT 84121-5099

Mailing address

850 N Highway 89 Apt 5F
North Salt Lake, UT 84054-1942
Phone (385) 414-1681

Other practice location 1

590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone (801) 587-7109

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

LicenseStateTypeSpecialty
13538998-4810UTMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1326903139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N HIGHWAY 89 APT 5F",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840541942",
            "telephone_number": "385-414-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E BENGAL BLVD",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215099",
            "telephone_number": "801-826-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 S Wakara Way",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081200",
            "country_code": "US",
            "telephone_number": "801-587-7109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHEL",
        "middle_name": "AMANDA",
        "credential": "MAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "13538998-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 23, 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.

Verify at the official NPI Registry.