Derrik Thomas Legler, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204000425 Issued in VA

Practice address

729 S Arapeen Dr RM 1368
Salt Lake City, UT 84108-1218

Phone

(801) 585-0779

NPI assigned

Jan 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dlegler536569@direct.med.utah.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Utah

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1588656870
  Medicare reassignment NPD
• University of Utah

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1699889576
  NPD
• University of Utah Healthcare

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Salt Lake City, UT
  • NPI 1235546573
  NPD

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1609406305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 S ARAPEEN DR RM 1368",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081218",
            "telephone_number": "801-585-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 S ARAPEEN DR RM 1368",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081218",
            "telephone_number": "801-585-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGLER",
        "first_name": "DERRIK",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DLEGLER536569@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Legacy Dental
• Legacy Medical PC
• Margaret Legarreta, PHD
• Nicole Legarreta, LCSW
• Wyatt Legas
• Mary Louise Sydney Leguyader, M. D.
• Christopher Mark Lehman, MD
• Mary Eileen Lehman, LCSW
• Helge Immo Lehmann, M.D.
• Paul G. Lehmitz, M.D.

• Speech-Language Pathologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.