Active NPI
Mary Syphus
- Pulmonary Rehabilitation Registered Respiratory Therapist
- Salt Lake City, UT
National Provider Identifier
1679987119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Rehabilitation Registered Respiratory Therapist
- License
- 6833247-5701
- Practice address
- 4885 S 900 E
Suite 107
Salt Lake City, UT 84117-5746 - Phone
- (801) 266-0399
- Fax
- (801) 266-0421
- NPI assigned
- Jun 12, 2014
- 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 |
|---|---|---|---|---|
| Pulmonary Rehabilitation Registered Respiratory Therapist | 2279P1005X | 6833247-5701 | UT | Primary |
Addresses
Primary practice location
4885 S 900 E
Suite 107
Salt Lake City, UT 84117-5746
Mailing address
4885 S 900 E
Suite 107
Salt Lake City, UT 84117-5746
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 |
|---|---|---|---|
| 6833247-5701 | UT | MD | Pulmonary Rehabilitation Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1679987119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4885 S 900 E",
"address_2": "SUITE 107",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841175746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4885 S 900 E",
"address_2": "SUITE 107",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841175746",
"telephone_number": "801-266-0399",
"fax_number": "801-266-0421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYPHUS",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2279P1005X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
"state": "UT",
"license": "6833247-5701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.