Active NPI
Dorothy Ann Durazo-Harris
- Physical Therapist
- Salt Lake City, UT
National Provider Identifier
1568685741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21205
- Practice address
- 1952 E. 7000 S. Suite 100
Salt Lake City, UT 84121 - Phone
- (801) 942-3311
- Fax
- (801) 942-5955
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21205 | CA | Primary |
Addresses
Primary practice location
1952 E. 7000 S. Suite 100
Salt Lake City, UT 84121
Mailing address
1952 E. 7000 S. Suite 100
Salt Lake City, UT 84121
Phone (801) 942-3311
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 |
|---|---|---|---|
| 21205 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568685741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1952 E. 7000 S. SUITE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84121",
"telephone_number": "801-942-3311",
"fax_number": "801-942-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 E. 7000 S. SUITE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84121",
"telephone_number": "801-942-3311",
"fax_number": "801-942-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAZO-HARRIS",
"first_name": "DOROTHY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "21205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.