NPIMap

Organization Active NPI

University of Utah Life Skills Clinic

  • Rehabilitation Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1790238145
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
9819526-4201 Issued in UT
Legal business name
UNIVERSITY OF UTAH LIFE SKILLS CLINIC
Practice address
540 S Arapeen Dr Ste 200
Salt Lake City, UT 84108-1216
Phone
(801) 585-6837
NPI assigned
Aug 2, 2016
Last updated
Aug 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Ms. Aubrianne Squire, MOT, OTR/L
Title
Occupational Therapist
Phone
(715) 307-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 9819526-4201 UT Primary

Addresses

Primary practice location

540 S Arapeen Dr Ste 200
Salt Lake City, UT 84108-1216

Mailing address

540 S Arapeen Dr Ste 200
Salt Lake City, UT 84108-1216
Phone (801) 585-6837

National Provider Directory

National Provider Directory

Locations

540 S Arapeen Dr
Ste 200
Slc, UT 84108
Phone (801) 585-6837

Practitioners & affiliated clinicians

Practitioners 8

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": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1790238145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S ARAPEEN DR STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081216",
            "telephone_number": "801-585-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S ARAPEEN DR STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081216",
            "telephone_number": "801-585-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF UTAH LIFE SKILLS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "SQUIRE",
        "authorized_official_first_name": "AUBRIANNE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "715-307-0501",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "UT",
            "license": "9819526-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

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

Verify at the official NPI Registry.