Active NPI
Jli LC
- Physical Therapist
- Sandy, UT
National Provider Identifier
1881020378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2780612401
- Legal business name
- JLI LC
- Practice address
- 11075 S State St
BLDG. 35
Sandy, UT 84070-5164 - Phone
- (801) 990-1990
- NPI assigned
- Sep 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon Lame
- Title
- Owner
- Phone
- (801) 990-1990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2780612401 | UT | Primary |
Addresses
Primary practice location
11075 S State St
BLDG. 35
Sandy, UT 84070-5164
Mailing address
11075 S State St
BLDG. 35
Sandy, UT 84070-5164
Phone (801) 990-1990
National Provider Directory
National Provider DirectoryLocations
11075 S State St
Ste 35
Sandy, UT 84070
Phone (801) 990-1990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379376000000",
"number": "1881020378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11075 S STATE ST",
"address_2": "BLDG. 35",
"city": "SANDY",
"state": "UT",
"postal_code": "840705164",
"telephone_number": "801-990-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11075 S STATE ST",
"address_2": "BLDG. 35",
"city": "SANDY",
"state": "UT",
"postal_code": "840705164",
"telephone_number": "801-990-1990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JLI LC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-17",
"last_updated": "2013-09-17",
"status": "A",
"authorized_official_last_name": "LAME",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-990-1990"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "UT",
"license": "2780612401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.