Amy Sturdivant

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

6677495-4003 Issued in UT

Practice address

3624 E Brighton Point Dr
Salt Lake City, UT 84121-5513

Phone

(801) 831-8463

NPI assigned

Sep 22, 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

Practice roles

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

• Therapeutic Recreation Connections Corp

  • Recreation Therapist
  • Cottonwood Heights, UT
  • NPI 1245067289
  NPD

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1356213938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 GENOA LN",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840748950",
            "telephone_number": "801-696-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 E BRIGHTON POINT DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215513",
            "telephone_number": "801-831-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDIVANT",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "UT",
            "license": "6677495-4003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe J. Stukenberg, MD
• Porter Stulce
• Barry M. Stults, MD
• Melanie Stumpf, ACMHC
• Sebastian Sturdevant
• Peter Bernard Sturdivant
• Caleb Randall Sturge Jr., MD
• Suzannah Sturgell
• Kari Lynne Sturzenegger
• Emma Stutz

• Recreation Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Recreation Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.