Division of Occupational Therapy University of Utah

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

DIVISION OF OCCUPATIONAL THERAPY UNIVERSITY OF UTAH

Doing business as

Life Skills Clinic

Practice address

540 Arapeen Dr
Suite 200
Salt Lake City, UT 84108-1250

Phone

(801) 585-7448

NPI assigned

Oct 26, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Kasey Duane Mitchell, MOT, OTR/L

Title

Clinic Manager

Phone

(801) 585-7448

Specialties & licenses 1

Addresses

Other names 1

• Life Skills Clinic Doing business as

Locations

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1700186699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WAKARA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081213",
            "telephone_number": "801-585-9135",
            "fax_number": "801-585-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 ARAPEEN DR",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081250",
            "telephone_number": "801-585-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVISION OF OCCUPATIONAL THERAPY UNIVERSITY OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KASEY",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "801-585-7448",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Skills Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Jae Dissler, OD
• Kaitlyn Ditty
• Savannah Divin
• Charles L Diviney III, MC, LPC, NCC, CCMHC
• Division of Nephrology University of Utah
• Abagayle Layne Dixon
• Adria Ann Dixon, SPEECH LANGUAGE PATH
• Barbara Leatherman Dixon, RDH, BS, MED
• Brok Dixon, SSWI
• Claire E Dixon

• Occupational Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.