Organization Active NPI

Therapy on the Fly PLLC

  • Clinical Social Worker
  • Ogden, UT
National Provider Identifier
1740502970
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6068455-3501
Legal business name
THERAPY ON THE FLY PLLC
Practice address
298 24TH St
Suite 420
Ogden, UT 84401-1431
Phone
(801) 458-1516
Fax
(435) 836-2427
NPI assigned
Feb 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Authorized official

Name
Scott A Peterson, LCWS
Title
Owner
Phone
(801) 458-1516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6068455-3501 Primary

Addresses

Primary practice location

298 24TH St
Suite 420
Ogden, UT 84401-1431

Mailing address

298 24TH St
Suite 420
Ogden, UT 84401-1431
Phone (801) 458-1516

Other identifiers 1

IdentifierTypeStateIssuer
1427202266OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

298 24th St
Ste 420
Ogden, UT 84401
Phone (801) 458-1516

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1740502970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 24TH ST",
            "address_2": "SUITE 420",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011431",
            "telephone_number": "801-458-1516",
            "fax_number": "435-836-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 24TH ST",
            "address_2": "SUITE 420",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011431",
            "telephone_number": "801-458-1516",
            "fax_number": "435-836-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY ON THE FLY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-458-1516",
        "authorized_official_credential": "LCWS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "6068455-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1427202266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.