Active NPI
Nicole Pasdera, DPT
- Pediatric Physical Therapist
- Sandy, UT
National Provider Identifier
1609408822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 11522547-2401
- Practice address
- 90 Albion Village Way
Sandy, UT 84070-4013 - Phone
- (801) 619-3670
- Fax
- (801) 619-3679
- NPI assigned
- Feb 5, 2020
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 11522547-2401 | UT | Primary |
Addresses
Primary practice location
90 Albion Village Way
Sandy, UT 84070-4013
Mailing address
90 Albion Village Way
Sandy, UT 84070-4013
Phone (801) 619-3670
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1609408822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 ALBION VILLAGE WAY",
"city": "SANDY",
"state": "UT",
"postal_code": "840704013",
"telephone_number": "801-619-3670",
"fax_number": "801-619-3679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 ALBION VILLAGE WAY",
"city": "SANDY",
"state": "UT",
"postal_code": "840704013",
"telephone_number": "801-619-3670",
"fax_number": "801-619-3679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASDERA",
"first_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "UT",
"license": "11522547-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.