Organization Active NPI

T Roger Peay Therapy

  • Community/Behavioral Health Agency
  • Heber City, UT
National Provider Identifier
1477109395
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
T ROGER PEAY THERAPY
Practice address
150 N Main St Ste 204-2
Heber City, UT 84032-1671
Phone
(801) 376-8775
NPI assigned
Aug 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Dr. Thomas Roger Peay, PH.D.NPI 1073791729
Title
President
Phone
(801) 376-8775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

150 N Main St Ste 204-2
Heber City, UT 84032-1671

Mailing address

273 W 100 N
Midway, UT 84049-6316
Phone (801) 376-8775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241220002498 UT Part B Supplier - Clinic/Group Practice 7810424454 Receives reassigned benefits from 1 practitioner
Practice locations: Heber City, UT

National Provider Directory

National Provider Directory

Locations

150 N Main St
Ste 204G
Heber City, UT 84032
Phone (801) 376-8775

150 N Main St
Ste 204-2
Heber City, UT 84032
Phone (801) 376-8775

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1477109395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 W 100 N",
            "city": "MIDWAY",
            "state": "UT",
            "postal_code": "840496316",
            "telephone_number": "801-376-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MAIN ST STE 204-2",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321671",
            "telephone_number": "801-376-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T ROGER PEAY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "PEAY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-376-8775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.