Individual provider Active NPI

Lillian Sannette Wright

  • Massage Therapist
  • Clinton, UT
National Provider Identifier
1851149108
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
13926060-4701 Issued in UT
Practice address
1808 W 1800 N Ste a
Clinton, UT 84015-8503
Phone
(801) 217-3133
NPI assigned
May 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 13926060-4701 UT Primary

Addresses

Primary practice location

1808 W 1800 N Ste a
Clinton, UT 84015-8503

Mailing address

1808 W 1800 N Ste a
Clinton, UT 84015-8503
Phone (801) 528-5067

Other practice location 1

2348 Kiesel Ave
Ogden, UT 84401-1964
Phone (801) 528-5066

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13926060-4701UTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutix of Clinton LLC Massage Therapist CurrentSince May 12, 2024 Accepting new patients
Therapeutix Mind & Body Inc Massage Therapist PastSince Mar 19, 2023 Accepting new patients

Locations

1808 W 1800 N
Ste A
Clinton, UT 84015
Phone (801) 217-3133

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1851149108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 W 1800 N STE A",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158503",
            "telephone_number": "801-528-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 W 1800 N STE A",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158503",
            "telephone_number": "801-217-3133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2348 Kiesel Ave",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844011964",
            "country_code": "US",
            "telephone_number": "801-528-5066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LILLIAN",
        "middle_name": "SANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "13926060-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.