Individual provider Active NPI

Antonia Lucia Solano Judson, LMT

  • Massage Therapist
  • Magna, UT
National Provider Identifier
1942016241
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14190395-4701 Issued in UT
Practice address
8237 W 3500 S
Magna, UT 84044-1851
Phone
(801) 250-6319
Fax
(801) 250-6092
NPI assigned
Dec 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 14190395-4701 UT Primary

Addresses

Primary practice location

8237 W 3500 S
Magna, UT 84044-1851

Mailing address

8237 W 3500 S
Magna, UT 84044-1851
Phone (801) 250-6319

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
14190395-4701UTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Judson Family Chiropractic LLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

8237 W 3500 S
Magna, UT 84044
Phone (510) 798-9999

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1942016241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8237 W 3500 S",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840441851",
            "telephone_number": "801-250-6319",
            "fax_number": "801-250-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8237 W 3500 S",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840441851",
            "telephone_number": "801-250-6319",
            "fax_number": "801-250-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLANO JUDSON",
        "first_name": "ANTONIA",
        "middle_name": "LUCIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "14190395-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magna, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.