Individual provider Active NPI

Wyatt L Cloward, O.T

  • Occupational Therapist
  • Salt Lake City, UT
National Provider Identifier
1356477012
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
326118-4201 Issued in UT
Practice address
1430 E 4500 S
Salt Lake City, UT 84117-4208
Phone
(801) 272-8000
Fax
(801) 274-0148
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 326118-4201 UT Primary

Addresses

Primary practice location

1430 E 4500 S
Salt Lake City, UT 84117-4208

Mailing address

826 E 1080 N
Lehi, UT 84043-1356
Phone (801) 272-8000

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
326118-4201UTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Rehab Occupational Therapist Past Accepting new patients
Aspen Care Center Inc PastSince May 23, 2013 Accepting new patients
Kane County Human Resource Special Service District PastSince Sep 1, 2015 Accepting new patients
Kane County Human Resource Special Service District PastSince Dec 11, 2017 Accepting new patients
Kane County Human Resource Special Service District PastSince Nov 1, 2013 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356477012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 E 1080 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840431356",
            "telephone_number": "801-272-8000",
            "fax_number": "801-274-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E 4500 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174208",
            "telephone_number": "801-272-8000",
            "fax_number": "801-274-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOWARD",
        "first_name": "WYATT",
        "middle_name": "L",
        "credential": "O.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "326118-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.