Active NPI
Craig Neibaur
- Occupational Therapist
- Salt Lake City, UT
National Provider Identifier
1891881637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 3220 S State St
Salt Lake City, UT 84115-3836 - Phone
- (801) 463-1101
- Fax
- (801) 463-1197
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | UT | Primary |
Addresses
Primary practice location
3220 S State St
Salt Lake City, UT 84115-3836
Mailing address
3220 S State St
Salt Lake City, UT 84115-3836
Phone (801) 463-1101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891881637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 S STATE ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841153836",
"telephone_number": "801-463-1101",
"fax_number": "801-463-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 S STATE ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841153836",
"telephone_number": "801-463-1101",
"fax_number": "801-463-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIBAUR",
"first_name": "CRAIG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.