NPIMap

Organization Active NPI

Deseret Therapy, Inc

  • Rehabilitation Clinic/Center
  • Centerville, UT
National Provider Identifier
1851563084
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
DESERET THERAPY, INC
Practice address
500 N Market Place Dr
Ste 203
Centerville, UT 84014-1708
Phone
(801) 296-5105
Fax
(801) 382-1098
NPI assigned
Mar 27, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Jon Robertson
Title
Ceo
Phone
(801) 296-5105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

500 N Market Place Dr
Ste 203
Centerville, UT 84014-1708

Mailing address

500 N. Market Place Dr.
Ste 203
Centerville, UT 84014-1709
Phone (801) 296-5105

National Provider Directory

National Provider Directory
Tax ID family
Deseret Health Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1851563084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N. MARKET PLACE DR.",
            "address_2": "STE 203",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141709",
            "telephone_number": "801-296-5105",
            "fax_number": "801-382-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MARKET PLACE DR",
            "address_2": "STE 203",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141708",
            "telephone_number": "801-296-5105",
            "fax_number": "801-382-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERET THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-296-5105"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.