Individual provider Active NPI

Jamie Christensen, PTA

  • Physical Therapy Assistant
  • Delta, UT
National Provider Identifier
1932950813
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
7386680-2402 Issued in UT
Practice address
95 White Sage Ave Ste C
Delta, UT 84624-5555
Phone
(435) 864-2551
Fax
(435) 864-3573
NPI assigned
Mar 29, 2024
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 7386680-2402 UT Primary

Addresses

Primary practice location

95 White Sage Ave Ste C
Delta, UT 84624-5555

Mailing address

95 White Sage Ave Ste C
Delta, UT 84624-5555
Phone (435) 864-2551

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

LicenseStateTypeSpecialty
7386680-2402UTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Physical Therapy and Sports Medicine PC Current Accepting new patients
Delta Physical Therapy and Sports Current Accepting new patients

Locations

95 White Sage Ave
Ste C
Delta, UT 84624
Phone (435) 864-2251

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1932950813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WHITE SAGE AVE STE C",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846245555",
            "telephone_number": "435-864-2551",
            "fax_number": "435-864-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WHITE SAGE AVE STE C",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846245555",
            "telephone_number": "435-864-2551",
            "fax_number": "435-864-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "JAMIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "UT",
            "license": "7386680-2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.