Active NPI
Summer Tanner, OTR/L
- Occupational Therapist
- Sandy, UT
National Provider Identifier
1790133486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9811557-4201
- Practice address
- 10496 S Dimple Dell Rd
Sandy, UT 84092-4534 - Phone
- (801) 792-0975
- NPI assigned
- Jun 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9811557-4201 | UT | Primary |
Addresses
Primary practice location
10496 S Dimple Dell Rd
Sandy, UT 84092-4534
Mailing address
10496 S Dimple Dell Rd
Sandy, UT 84092-4534
Phone (801) 792-0975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1790133486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10496 S DIMPLE DELL RD",
"city": "SANDY",
"state": "UT",
"postal_code": "840924534",
"telephone_number": "801-792-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10496 S DIMPLE DELL RD",
"city": "SANDY",
"state": "UT",
"postal_code": "840924534",
"telephone_number": "801-792-0975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "SUMMER",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-02",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "9811557-4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.