Individual provider Active NPI

Jamie McIntosh, OT

  • Occupational Therapist
  • Brigham City, UT
National Provider Identifier
1861275620
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8926046-4201 Issued in UT
Practice address
984 Medical Dr Ste 3
Brigham City, UT 84302-4712
Phone
(435) 239-8104
Fax
(435) 239-8415
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8926046-4201 UT Primary

Addresses

Primary practice location

984 Medical Dr Ste 3
Brigham City, UT 84302-4712

Mailing address

984 Medical Dr Ste 3
Brigham City, UT 84302-4712
Phone (435) 239-8104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921003015 UT Practitioner - Occupational Therapist in Private Practice 0042664260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

984 Medical Dr
Suite 3
Brigham City, UT 84302-4712
Phone (435) 239-8104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Hand Therapy Limited Partnership Occupational Therapist CurrentSince Aug 31, 2023 Accepting new patients
Summit Hand Therapy Limited Partnership Occupational Therapist CurrentSince Aug 31, 2023 Accepting new patients
Summit Hand Therapy Past Accepting new patients

Locations

984 S 500 W
Ste 3
Brigham City, UT 84302
Phone (435) 237-1471

1992 W Antelope Dr
Ste 1D
Layton, UT 84041
Phone (801) 773-2633

Organizations & group practices 3

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1861275620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 MEDICAL DR STE 3",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024712",
            "telephone_number": "435-239-8104",
            "fax_number": "435-239-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 MEDICAL DR STE 3",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024712",
            "telephone_number": "435-239-8104",
            "fax_number": "435-239-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "JAMIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "8926046-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.