Active NPI
Marijke Onsrud, P.T.O.C.S.
- Orthopedic Physical Therapist
- Washington, UT
National Provider Identifier
1972719516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 8660083-2401
- Practice address
- 1525 E Ovation PL
Washington, UT 84780 - Phone
- (435) 429-0000
- Fax
- (866) 728-9636
- NPI assigned
- May 14, 2007
- Last updated
- Dec 8, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 8660083-2401 | UT | |
| Orthopedic Physical Therapist | 2251X0800X | PT 1155 | ID | |
| Orthopedic Physical Therapist | 2251X0800X | 8660083-2401 | UT | Primary |
Addresses
Primary practice location
1525 E Ovation PL
Washington, UT 84780
Mailing address
25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 1155 | ID | MD | Orthopedic Physical Therapist |
| 8660083-2401 | UT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Peaks Physical Therapy P a | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Driggs, ID
- NPI 1356412837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1972719516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25117 SW PARKWAY AVE STE D",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 E OVATION PL",
"city": "WASHINGTON",
"state": "UT",
"postal_code": "84780",
"telephone_number": "435-429-0000",
"fax_number": "866-728-9636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONSRUD",
"first_name": "MARIJKE",
"name_prefix": "Mrs.",
"credential": "P.T.O.C.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2020-12-08",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "UT",
"license": "8660083-2401",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "ID",
"license": "PT 1155",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "UT",
"license": "8660083-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.