Active NPI
Northern Holdings
Doing business as Advantage Physical Therapy
- Orthopedic Physical Therapist
- Taylorsville, UT
National Provider Identifier
1568960037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- 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 HOLDINGS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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
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.