Active NPI
Allison Yarborough, PT, DPT
- Physical Therapist
- South Jordan, UT
National Provider Identifier
1396358693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11866333-8016
- Practice address
- 5126 W Daybreak Pkwy
South Jordan, UT 84009-5994 - Phone
- (801) 213-4500
- NPI assigned
- Aug 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 297937 | CA | |
| Physical Therapist | 225100000X | 11866333-8016 | UT | Primary |
Addresses
Primary practice location
5126 W Daybreak Pkwy
South Jordan, UT 84009-5994
Mailing address
1155 E 2100 S Apt 715
Salt Lake City, UT 84106-2864
Other names 1
- Allison Goodenow
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ayarborough458000@direct.med.utah.edu | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201029001386 | UT | Practitioner - Physical Therapist in Private Practice | 5698185825 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297937 | CA | MD | Physical Therapist |
| 11866333-8016 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Healthcare | Current | Accepting new patients | |
| University of Utah | Current | Accepting new patients | |
| University of Utah | Current | Accepting new patients |
Locations
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
5126 W Daybreak Pkwy
South Jordan, UT 84009
Phone (801) 213-4320
Interoperability endpoints
- ayarborough458000@direct.med.utah.edu
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1699889576
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Salt Lake City, UT
- NPI 1235546573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1396358693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 E 2100 S APT 715",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841062864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5126 W DAYBREAK PKWY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840095994",
"telephone_number": "801-213-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARBOROUGH",
"first_name": "ALLISON",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297937",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "11866333-8016",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ayarborough458000@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "GOODENOW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.