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WASATCH ORTHOTICS & PEDORTHICS LLC NPI 1164418505


NPI Information

NPI: 1164418505
Provider Name: WASATCH ORTHOTICS & PEDORTHICS, LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
887 E VINE ST
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 293-8777
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WASATCH ORTHOTICS & PEDORTHICS, LLC is a prosthetic orthotic supplier in Salt Lake City, UT. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. WASATCH ORTHOTICS & PEDORTHICS, LLC NPI is 1164418505. The provider is registered as an organization entity type.

The provider's business location address is:

887 E VINE ST
SALT LAKE CITY, UT
ZIP 84107-515
Phone: (801) 293-8777
Fax: (801) 293-0231

The provider's authorized official is Sheryl S Price .
The authorized official title is Director Of Reimbursement and has the following contact phone number (503) 493-8288.

The enumeration date for this NPI number is 9/21/2005 and was last updated on 8/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========000MEDICAIDUTAH
2QM0000036359OTHERALTIUS
31272190001MEDICARE NSC
41272190001MEDICARE ID-TYPE UNSPECIFIED
5=========01001OTHERUTAHREGENCE BLUECROSS BLUESHI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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