Blue Sky Therapeutics, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

6267199-4201 Issued in UT

Legal business name

BLUE SKY THERAPEUTICS, LLC

Practice address

1910 Prospector Ave
Suite 201
Park City, UT 84060-7211

Phone

(435) 659-1746

NPI assigned

Nov 29, 2007

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Kahn, MSOTNPI 1992905350

Title

Occupational Therapist

Phone

(435) 659-1746

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Falik Kahn, MSOT

  • Pediatric Occupational Therapist
  • Park City, UT
  • NPI 1992905350
  Authorized official Same address or phone

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1649452863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 SOUTHRIDGE CT",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 PROSPECTOR AVE",
            "address_2": "SUITE 201",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607211",
            "telephone_number": "435-659-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "435-659-1746",
        "authorized_official_credential": "MSOT"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "UT",
            "license": "6267199-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Jeremy Black, DC
• Spencer Sonntag Blackham, DMD, MS
• Natalie Marie Blaskowski, PA-C
• Shari Bloom, PA-C
• Blue Sage Medical LLC
• Bobbi Fosburg Psychotherapy, LLC
• Kathleen S Bochnowski, PT
• Coulson Dirk Boggess, PA-C
• Cress Roy Bohnn, M.D
• Winston Brent Bokor, MD

• Developmental Disabilities Clinic/Center in Park City, UT
• Providers in Park City, UT by specialty
• Developmental Disabilities Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.