Active NPI
Tricia Elizabeth Davis, P.T.
- Physical Therapist
- Ogden, UT
National Provider Identifier
1407162035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 349228-2401
- Practice address
- 5782 Adams Avenue Parkway
Ogden, UT 84405 - Phone
- (801) 917-8000
- Fax
- (801) 917-8001
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 349228-2401 | UT | Primary |
Addresses
Primary practice location
5782 Adams Avenue Parkway
Ogden, UT 84405
Mailing address
1945 Scotsville Road
B2 Pmb356
Bowling Green, KY 42104
Phone (270) 842-8824
Other names 1
- Miss Tricia E Mooney
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Orthopaedics LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/26334/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Washington Terrace, UT
- NPI 1497089908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1407162035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 SCOTSVILLE ROAD",
"address_2": "B2 PMB356",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "42104",
"telephone_number": "270-842-8824",
"fax_number": "270-842-7917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5782 ADAMS AVENUE PARKWAY",
"city": "OGDEN",
"state": "UT",
"postal_code": "84405",
"telephone_number": "801-917-8000",
"fax_number": "801-917-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TRICIA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "349228-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRICIA",
"last_name": "MOONEY",
"middle_name": "E",
"prefix": "MISS",
"credential": "PHYSICAL THERAPIST",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.