Active NPI
Suzanne Zibetti, OTR
- Occupational Therapist
- Provo, UT
National Provider Identifier
1912835042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102612-4201
- Practice address
- 1190 W 900 N
Provo, UT 84604-3171 - Phone
- (801) 437-3100
- NPI assigned
- May 11, 2026
- Last updated
- May 11, 2026
- Sex
- Female
- 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 | 102612-4201 | UT | Primary |
Addresses
Primary practice location
1190 W 900 N
Provo, UT 84604-3171
Mailing address
1388 N Geneva Rd
Provo, UT 84601-1287
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102612-4201 | UT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1912835042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1388 N GENEVA RD",
"city": "PROVO",
"state": "UT",
"postal_code": "846011287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 W 900 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846043171",
"telephone_number": "801-437-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIBETTI",
"first_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "102612-4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.