Active NPI
Nathan Moroni Clay
- Massage Therapist
- West Valley City, UT
National Provider Identifier
1548083025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14104587-4701
- Practice address
- 1425 W 2280 S
West Valley City, UT 84119-1413 - Phone
- (484) 477-8866
- NPI assigned
- Nov 4, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14104587-4701 | UT | Primary |
Addresses
Primary practice location
1425 W 2280 S
West Valley City, UT 84119-1413
Mailing address
PO Box 745
Mountain GRV, MO 65711-0745
Phone (484) 477-8866
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 |
|---|---|---|---|
| 14104587-4701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1548083025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745",
"city": "MOUNTAIN GRV",
"state": "MO",
"postal_code": "657110745",
"telephone_number": "484-477-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 W 2280 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841191413",
"telephone_number": "484-477-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "NATHAN",
"middle_name": "MORONI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "14104587-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.