Active NPI
Rob Marshall, OTR
- Occupational Therapist
- SLC, UT
National Provider Identifier
1700088978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 282765-4201
- Practice address
- 1050 E South Temple
SLC, UT 84102-1507 - Phone
- (801) 350-4110
- NPI assigned
- Jun 1, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 282765-4201 | UT | Primary |
Addresses
Primary practice location
1050 E South Temple
SLC, UT 84102-1507
Mailing address
9647 Iron Gate Rd
South Jordan, UT 84095-3285
Phone (801) 302-8686
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 |
|---|---|---|---|
| 282765-4201 | UT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700088978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9647 IRON GATE RD",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840953285",
"telephone_number": "801-302-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E SOUTH TEMPLE",
"city": "SLC",
"state": "UT",
"postal_code": "841021507",
"telephone_number": "801-350-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "ROB",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "282765-4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.