Todd Poulson, MSOTR/L

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

336746-4201 Issued in UT

Practice address

3430 Harrison Blvd
Ogden, UT 84403-1231

Phone

(801) 399-5609

NPI assigned

May 27, 2008

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1386802403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 W 275 S",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415247",
            "telephone_number": "801-593-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031231",
            "telephone_number": "801-399-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULSON",
        "first_name": "TODD",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "336746-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positional Release Therapy Institute LLC
• Burk Rossiter Potter, LCSW
• Rhett Potter, LCSW
• Jeannette Poulsen, SSW
• Shane Poulsen
• Bryan L Povey, CSW
• Craig Povey, LCSW
• Emily M Powell, MD
• Zoey Hannah Powell, ACSM-CEP
• Joseph E Prantil, LCSW

• Skilled Nursing Facility in Ogden, UT
• Providers in Ogden, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.