NPIMap

Organization Active NPI

Theraputic Spa, LLC

  • Respite Care
  • Farmington, UT
National Provider Identifier
1518197748
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
THERAPUTIC SPA, LLC
Practice address
630 Shepard LN Ste 102
Farmington, UT 84025-3934
Phone
(801) 447-8680
Fax
(801) 447-4211
NPI assigned
Jul 22, 2009
Last updated
Jul 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Lisa Larson, LMTNPI 1447479225
Title
Manager
Phone
(801) 447-8680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X UT Primary

Addresses

Primary practice location

630 Shepard LN Ste 102
Farmington, UT 84025-3934

Mailing address

630 Shepard LN Ste 102
Farmington, UT 84025-3934
Phone (801) 447-8680

National Provider Directory

National Provider Directory

Locations

630 Shepard Ln
Ste 102
Farmington, UT 84025
Phone (801) 447-8680

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1518197748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SHEPARD LN STE 102",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253934",
            "telephone_number": "801-447-8680",
            "fax_number": "801-447-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SHEPARD LN STE 102",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253934",
            "telephone_number": "801-447-8680",
            "fax_number": "801-447-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPUTIC SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-447-8680",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.