Active NPI
Erinlee Boden, MPT, DPT
- Physical Therapist
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3285392401
- Practice address
- 9001 S 3200 W Ste 1
West Jordan, UT 84088-9623 - Phone
- (801) 561-1061
- Fax
- (801) 561-1570
- NPI assigned
- Nov 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24599 | CA | |
| Physical Therapist | 225100000X | 3285392401 | UT | Primary |
Addresses
Primary practice location
9001 S 3200 W Ste 1
West Jordan, UT 84088-9623
Mailing address
9001 S 3200 W Ste 1
West Jordan, UT 84088-9623
Phone (801) 561-1061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9001 S 3200
Suite 1
West Jordan, UT 84088-9623
Phone (801) 561-1061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24599 | CA | MD | Clinical Social Worker |
| PT24599 | CA | MD | Physical Therapist |
| 3285392401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand & Orthopedic Rehabilitation Specialists PC | Physical Therapist | Current | Accepting new patients |
| Hand & Orthopedic Rehabilitation Specialists PC | Physical Therapist | Current | Accepting new patients |
| Richard P Carr Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
5151 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 261-3321
9001 S 3200 W
Ste 1
West Jordan, UT 84088
Phone (801) 561-1061
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1790815173
-
dba Hand and Orthopedic Physical Therapy Specialists
- Physical Therapist
- West Jordan, UT
- NPI 1811872245
-
dba Sunnyvale Physical Therapy & Hand Rehabilitation
- Physical Therapist
- Sunnyvale, CA
- NPI 1194707653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1932182243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 S 3200 W STE 1",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840889623",
"telephone_number": "801-561-1061",
"fax_number": "801-561-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 S 3200 W STE 1",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840889623",
"telephone_number": "801-561-1061",
"fax_number": "801-561-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODEN",
"first_name": "ERINLEE",
"credential": "MPT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24599",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "3285392401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.