Active NPI
Jason James Henrie, OTR/L
- Occupational Therapist
- Springville, UT
National Provider Identifier
1992070460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7712326-4201
- Practice address
- 1068 E 200 S
Springville, UT 84663-2712 - Phone
- (801) 489-4461
- NPI assigned
- Mar 17, 2012
- Sex
- Male
- 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 | 7712326-4201 | UT | Primary |
Addresses
Primary practice location
1068 E 200 S
Springville, UT 84663-2712
Mailing address
1871 E 750 S
Springville, UT 84663-3224
Phone (801) 489-4461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7712326-4201 | UT | MD | Occupational Therapist |
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.
-
- Physical Therapist
- Springville, UT
- NPI 1326149865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1992070460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1871 E 750 S",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846633224",
"telephone_number": "801-489-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1068 E 200 S",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846632712",
"telephone_number": "801-489-4461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRIE",
"first_name": "JASON",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-17",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "7712326-4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.