Organization Active NPI

Jli LC

  • Physical Therapist
  • Sandy, UT
National Provider Identifier
1881020378
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2780612401 Issued in UT
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

Updated by the provider on Sep 17, 2013

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.