Olivia Nicole Wozab

Primary specialty

Recreational Therapist AssistantTaxonomy code 226000000X

License

13969796-4003 Issued in UT

Practice address

433 E 2700 S
South Salt Lake, UT 84115-3325

Phone

(801) 487-2248

Fax

(801) 746-0764

NPI assigned

Jul 17, 2025

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1326930041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 E 2700 S",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841153325",
            "telephone_number": "801-487-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E 2700 S",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841153325",
            "telephone_number": "801-487-2248",
            "fax_number": "801-746-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZAB",
        "first_name": "OLIVIA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226000000X",
            "taxonomy_group": "",
            "desc": "Recreational Therapist Assistant",
            "state": "UT",
            "license": "13969796-4003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd R Wilcox, MD
• Morgan Williams
• Diana Ashley Wilson, BS
• Brittney Wise Gonzalez
• Ben Brent Wolsey, RN
• Ashley Yang
• Amanda S Yapias
• Menerva Yole-Lobe
• Katherine J Young
• Michael Wayne Young, DDS

• Recreational Therapist Assistant in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• Recreational Therapist Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.