Active NPI
Karen Bissio, TRT
- Recreation Therapist
- Midvale, UT
National Provider Identifier
1417815754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 13742406-4003
- Practice address
- 1012 W Jordan River Blvd
Midvale, UT 84047-4865 - Phone
- (801) 565-0800
- NPI assigned
- Jan 14, 2026
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 13742406-4003 | UT | Primary |
Addresses
Primary practice location
1012 W Jordan River Blvd
Midvale, UT 84047-4865
Mailing address
8979 W 2900 S
Magna, UT 84044-1159
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13742406-4003 | UT | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1417815754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8979 W 2900 S",
"city": "MAGNA",
"state": "UT",
"postal_code": "840441159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 W JORDAN RIVER BLVD",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840474865",
"telephone_number": "801-565-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISSIO",
"first_name": "KAREN",
"credential": "TRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-14",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "UT",
"license": "13742406-4003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.