Organization Active NPI

Wasatch Integrated Wellness, LLC

  • Physical Therapist
  • Murray, UT
National Provider Identifier
1740785294
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WASATCH INTEGRATED WELLNESS, LLC
Practice address
141 E 5600 S Ste 204
Murray, UT 84107-8242
Phone
(801) 905-1928
NPI assigned
Mar 27, 2018
Last updated
Mar 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Theresa Sue Tomlin
Title
Office Manager
Phone
(801) 905-1928

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Physical Therapist 225100000X NU Primary
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

141 E 5600 S Ste 204
Murray, UT 84107-8242

Mailing address

141 E 5600 S Ste 204
Murray, UT 84107-8242
Phone (801) 905-1928

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1740785294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E 5600 S STE 204",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078242",
            "telephone_number": "801-905-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E 5600 S STE 204",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078242",
            "telephone_number": "801-905-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH INTEGRATED WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "TOMLIN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-905-1928"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.