Jennifer M Bangs, OTD OTR L
Individual provider Active NPI Occupational Therapist · Bountiful, UT
NPI 1871667451 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871667451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5927273-4201 (UT)
- Practice address
- 401 S 400 E
Mountain Land Rehabilitation
Bountiful, UT 84010-4933 - Phone
- (801) 397-8154
- Fax
- (801) 397-8051
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5927273-4201 | UT | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5927273-4201 | UT | Yes |
Addresses
Primary practice location
401 S 400 E
Mountain Land Rehabilitation
Bountiful, UT 84010-4933
Mailing address
401 S 400 E
Mountain Land Rehabilitation
Bountiful, UT 84010-4933
Phone (801) 397-8154
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D5312 | Medicaid | UT |
Other providers in Bountiful, UT
- Jessica Baird
- Michaela Baird
- Emerald Baker
- Jessie Balicki
- Lindsey Ballard
- Saige Banks
- Michel Maroun Barakat
- Jamie Fife Barkdull
- Lyndy Kistine Barnard
- Lisa Ena Barnes
All providers in Bountiful, UT · Occupational Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.