Organization Active NPI

Northern Holdings

Doing business as Advantage Physical Therapy

  • Orthopedic Physical Therapist
  • Taylorsville, UT
National Provider Identifier
1568960037
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
NORTHERN HOLDINGS
Doing business as
Advantage Physical Therapy
Practice address
6321 S Redwood Rd Ste 100
Taylorsville, UT 84123-6799
Phone
(801) 281-1525
NPI assigned
Jan 30, 2018
Organization subpart
Yes
Parent organization
NORTHERN HOLDINGSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Jacob Erekson, DPT
Title
DPT/Consultant
Phone
(801) 281-1525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

6321 S Redwood Rd Ste 100
Taylorsville, UT 84123-6799

Mailing address

6321 S Redwood Rd Ste 107
Taylorsville, UT 84123-6799

Other names 1

  • Advantage Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Northern Holdings

Locations

6321 S Redwood Rd
Ste 107
Taylorsville, UT 84123

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1568960037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 S REDWOOD RD STE 107",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 S REDWOOD RD STE 100",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236799",
            "telephone_number": "801-281-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HOLDINGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN HOLDINGS",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "EREKSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DPT/CONSULTANT",
        "authorized_official_telephone_number": "801-281-1525",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.