Active NPI
Gloria Maldonado
- Massage Therapist
- Taylorsville, UT
National Provider Identifier
1639908809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 95587724701
- Practice address
- 2828 W 4700 S
Taylorsville, UT 84129-2154 - Phone
- (435) 255-4437
- Fax
- (505) 397-5987
- NPI assigned
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 95587724701 | UT | Primary |
Addresses
Primary practice location
2828 W 4700 S
Taylorsville, UT 84129-2154
Mailing address
870 S 1100 W
Salt Lake City, UT 84104-2456
Phone (435) 255-4437
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95587724701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1639908809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 S 1100 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841042456",
"telephone_number": "435-255-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 W 4700 S",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841292154",
"telephone_number": "435-255-4437",
"fax_number": "505-397-5987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "GLORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "95587724701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.