Individual provider Active NPI

August Capri Quaife, MOTR/L, LMT

  • Occupational Therapist
  • Draper, UT
National Provider Identifier
1629475967
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5044485-4201 Issued in UT
Practice address
12453 S 265 W Ste B
Draper, UT 84020-5420
Phone
(801) 443-7775
Fax
(801) 447-0107
NPI assigned
Dec 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 5044485-4701 UT
Occupational Therapist 225X00000X 5044485-4201 UT Primary

Addresses

Primary practice location

12453 S 265 W Ste B
Draper, UT 84020-5420

Mailing address

PO Box 363
Riverton, UT 84065-0363
Phone (800) 472-9515

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

State licenses

LicenseStateTypeSpecialty
5044485-4701UTMDMassage Therapist
5044485-4201UTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legendary Pediatric Therapy Massage Therapist CurrentSince Nov 1, 2014 Accepting new patients

Locations

12453 S 265 W
Ste B
Draper, UT 84020
Phone (801) 443-7775

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1629475967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840650363",
            "telephone_number": "800-472-9515",
            "fax_number": "801-447-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12453 S 265 W STE B",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205420",
            "telephone_number": "801-443-7775",
            "fax_number": "801-447-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAIFE",
        "first_name": "AUGUST",
        "middle_name": "CAPRI",
        "credential": "MOTR/L, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "5044485-4701",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "5044485-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.