Active NPI
Root Solutions and Wellness
- Physician Assistant
- Lehi, UT
National Provider Identifier
1780401554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- ROOT SOLUTIONS AND WELLNESS
- Practice address
- 4161 N Thanksgiving Way Ste 204
Lehi, UT 84043-4063 - Phone
- (801) 592-7884
- NPI assigned
- Sep 24, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Tyson Wilcox, PA-C
- Title
- Owner
- Phone
- (801) 592-7884
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241015004664 | UT | Part B Supplier - Clinic/Group Practice | 3072045079 |
Receives reassigned benefits from 1 practitioner Practice locations: South Jordan, UT |
National Provider Directory
National Provider DirectoryLocations
4161 N Thanksgiving Way
Ste 204
Lehi, UT 84048
Phone (801) 592-7884
1218 W South Jordan Pkwy
Ste B
South Jordan, UT 84095
Phone (801) 592-7884
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4161 N Thanksgiving Way Ste 204
Lehi, UT 84043-4063
Mailing address
11593 S Douglas Vista Dr
Draper, UT 84020-1480
Phone (801) 592-7884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2024.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1780401554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11593 S DOUGLAS VISTA DR",
"city": "DRAPER",
"state": "UT",
"postal_code": "840201480",
"telephone_number": "801-592-7884",
"fax_number": "385-345-3806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 N THANKSGIVING WAY STE 204",
"city": "LEHI",
"state": "UT",
"postal_code": "840434063",
"telephone_number": "801-592-7884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOT SOLUTIONS AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-23",
"status": "A",
"authorized_official_last_name": "WILCOX",
"authorized_official_first_name": "TYSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-592-7884",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.