Individual provider Active NPI

Lauren Ruonavaara

  • Physical Therapy Assistant
  • Draper, UT
National Provider Identifier
1487523023
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
129480362402 Issued in UT
Practice address
11631 S 700 E
Draper, UT 84020-8288
Phone
(385) 463-3100
NPI assigned
Nov 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 129480362402 UT Primary

Addresses

Primary practice location

11631 S 700 E
Draper, UT 84020-8288

Mailing address

332 W 2200 N
Lehi, UT 84043-2877
Phone (218) 255-7187

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114001638 UT Practitioner - Physical Therapist in Private Practice 8224514732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2825 E Cottonwood Pkwy
Suite 500
Salt Lake City, UT 84121-7060

332 W 2200
Lehi, UT 84043-2877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129480362402UTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Core Therapy Partners LLC CurrentSince Oct 16, 2025 Accepting new patients

Locations

2825 E Cottonwood Pkwy
Ste 500
Salt Lake Cty, UT 84121
Phone (801) 653-3111

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.

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1487523023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 W 2200 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432877",
            "telephone_number": "218-255-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11631 S 700 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208288",
            "telephone_number": "385-463-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUONAVAARA",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "UT",
            "license": "129480362402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.