Aspire Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ASPIRE THERAPY, LLC

Practice address

2055 N 1450 E
North Logan, UT 84341-2086

Phone

(435) 363-3732

Fax

(888) 668-5207

NPI assigned

Mar 15, 2019

Organization subpart

No

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

Authorized official

Name

Tim L Jensen, OTNPI 1891153714

Title

Owner

Phone

(435) 363-3732

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tim Leroy Jensen, MOTR/L

  • Occupational Therapist
  • North Logan, UT
  • NPI 1891153714
  Medicare reassignment NPD Authorized official
• Wesley Hyde

  • Physical Therapist
  • North Logan, UT
  • NPI 1346784410
  Medicare reassignment NPD

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1366901704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "MILLVILLE",
            "state": "UT",
            "postal_code": "843260005",
            "telephone_number": "435-232-1850",
            "fax_number": "888-668-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N 1450 E",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843412086",
            "telephone_number": "435-363-3732",
            "fax_number": "888-668-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-363-3732",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ryan Mackay Austin, MSN, APRN, FNP-C
• John Charles Bailey, M.D., MSPH
• Michelle C Bailey, FNP
• Sandra Ballard, IBCLC

• All providers in North Logan, UT
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.