Active NPI
Jeanette S. Murphy, OTR/L
- Gerontology Occupational Therapist
- West Valley City, UT
National Provider Identifier
1992124887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 8360347-4201
- Practice address
- 2830 S Redwood Rd Ste a
West Valley City, UT 84119-5626 - Phone
- (385) 235-1609
- NPI assigned
- Apr 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 Rehabilitation Occupational Therapist | 225XP0019X | 8360347-4201 | UT | |
| Gerontology Occupational Therapist | 225XG0600X | 8360347-4201 | UT | Primary |
Addresses
Primary practice location
2830 S Redwood Rd Ste a
West Valley City, UT 84119-5626
Mailing address
3014 Homestead Rd
Park City, UT 84098-4835
Phone (908) 672-1033
Other names 1
- Miss Jeanette M. Stanig
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8360347-4201 | UT | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability OT LLC | Current | 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 and National Provider Directory roles.
-
- Occupational Therapist
- Park City, UT
- NPI 1538767710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602374400000",
"number": "1992124887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3014 HOMESTEAD RD",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840984835",
"telephone_number": "908-672-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 S REDWOOD RD STE A",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841195626",
"telephone_number": "385-235-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "JEANETTE",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2020-10-11",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "UT",
"license": "8360347-4201",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "UT",
"license": "8360347-4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANETTE",
"last_name": "STANIG",
"middle_name": "M.",
"prefix": "MISS",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.