Individual provider Active NPI

Janair Almeida Costa de Souza, PT

  • Physical Therapist
  • West Jordan, UT
National Provider Identifier
1710745815
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13540689-2401
Practice address
1577 W 7000 S Ste 100
West Jordan, UT 84084-7493
Phone
(801) 566-6301
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13540689-2401 Primary

Addresses

Primary practice location

1577 W 7000 S Ste 100
West Jordan, UT 84084-7493

Mailing address

9844 S 1300 E Ste 300
Sandy, UT 84094-4693
Phone (801) 571-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241025003169 UT Practitioner - Physical Therapist in Private Practice 2466985650 Reassigns benefits to 2 organizations
I20260501002602 FL Practitioner - Physical Therapist in Private Practice 2466985650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 clinicians

Practice addresses (Care Compare)

124 S 400
Suite 230
Salt Lake City, UT 84111-5313
Phone (213) 898-2673

2601 SW 37TH Ave
Suite 906
Coral Gables, FL 33133-2751
Phone (213) 898-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Registered Physical Therapists LLC CurrentSince Jul 22, 2024 Accepting new patients
Origin Physical Therapy FL PLLC Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients

Locations

2601 SW 37th Ave
Ste 906
Miami, FL 33133
Phone (305) 445-6568

124 S 400 E
Ste 230
Salt Lake City, UT 84111
Phone (801) 597-5686

455 E 200 S
Ste 110
Salt Lake City, UT 84111
Phone (801) 359-4951

9844 S 1300 E
Ste 300
Sandy, UT 84094
Phone (801) 572-0690

1577 W 7000 S
Ste 100
West Jordan, UT 84084
Phone (801) 566-6301

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1710745815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9844 S 1300 E STE 300",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944693",
            "telephone_number": "801-571-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 W 7000 S STE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840847493",
            "telephone_number": "801-566-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMEIDA COSTA DE SOUZA",
        "first_name": "JANAIR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "13540689-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.