SUNSHINE TERRANCE (NPI# 1417347113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417347113 |
Entity Type | Organization |
Organization Name | SUNSHINE TERRANCE |
Practice Address |
209 W 300 N Logan UT 84321-3809 |
Mailing Address |
1277 E 100 S Logan UT 84321-4974 |
Practice Telephone | 4357168535 |
Mailing Telephone | 4355129071 |
Enumeration Date | 2015-02-02 |
Last Update Date | 2015-02-02 |
Authorized Official Name | DR. BROCK KEITH CHRISTENSEN (OCCUPATIONAL THERAPIST) |
Authorized Official Telephone | 4355129071 |
Authorized Official Credential | OTR/L |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QC1500X |
Clinic/Center Specialization: Community Health |
92879094201 | UT | Ambulatory Health Care Facilities |
N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
92879094201 | UT | Ambulatory Health Care Facilities |
N | 314000000X | Skilled Nursing Facility | 92879094201 | UT | Nursing & Custodial Care Facilities |
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
92879094201 | UT | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 9287909-4201 | 05 | |
UT | 92879094201 | 05 |
Street Address |
209 W 300 N |
City | LOGAN |
State | UT |
Zip Code | 84321-3809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306000856 | Sunshine Terrace Foundation | Occupational Therapist | 209 W 300 N, Logan, UT 84321-3809 | 2008-07-14 |
1396362513 | Brieanna Allen | Occupational Therapist | 209 W 300 N, Logan, UT 84321-3809 | 2020-07-03 |
1023653912 | Madison Spainhower | Physical Therapist | 209 W 300 N, Logan, UT 84321-3809 | 2019-11-14 |
1336631597 | Andrew Christensen | Physical Therapist | 209 W 300 N, Logan, UT 84321-3809 | 2018-06-04 |
1437687712 | Jordan Benson | Occupational Therapist | 209 W 300 N, Logan, UT 84321-3809 | 2017-05-31 |
1376074187 | Stephen Kyle Severe | Physical Therapist | 209 W 300 N, Logan, UT 84321-3809 | 2017-03-23 |
1811445216 | Jacob Penrose | Physical Therapist | 209 W 300 N, Logan, UT 84321-3809 | 2016-09-14 |
1871040972 | Kara Klc | Speech-Language Pathologist | 209 W 300 N, Logan, UT 84321-3809 | 2016-09-07 |
1952786832 | Joan B Harrison | Speech-Language Pathologist | 209 W 300 N, Logan, UT 84321-3809 | 2015-07-21 |
1326426578 | Eric Hanyak | Physical Therapist | 209 W 300 N, Logan, UT 84321-3809 | 2015-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265074157 | Grant E Severe | Pharmacist | 175 E 442 N, Logan, UT 84321 | 2019-10-11 |
1437712585 | Gregory Scott Hansen | Pharmacist | 412 East 200 North, Logan, UT 84321 | 2019-04-15 |
1043701584 | Mckell Peidl | Behavior Technician | 240 E 400 N Apt 8, Logan, UT 84321 | 2018-05-21 |
1801331194 | Eric Dutson | Speech-Language Pathologist | 964 W 2880 S, Nibley, UT 84321 | 2016-12-22 |
1063805299 | Krystal Cox | Marriage & Family Therapist | 493 North 700 East, Logan, UT 84321 | 2015-03-12 |
1013340801 | Carly D. L. Lebaron | Marriage & Family Therapist | 95 W. 100 S., Suite 360, Logan, UT 84321 | 2013-08-15 |
1669710471 | Brandon Bailey | Counselor | 1465 N. 300 W., Ste. A, Brigham, UT 84321 | 2013-01-29 |
1871843086 | Brandi Lee Richins | Social Worker | 90 E. 200 N., Logan, UT 84321 | 2012-09-14 |
1922356732 | Stacy Lynn Hamilton Jones | Marriage & Family Therapist | 60 East Center Street, Suite 205, Keystone Family Solutions, Logan, UT 84321 | 2012-08-28 |
1992002455 | Robert Thomas Allred | Chiropractor | 944 South Highway 89/91, Logan, UT 84321 | 2011-02-18 |
Find all providers in zip 84321 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558975698 | Daniel John Halligan | Clinic/Center | 832 N Dorothea Way, Salt Lake City, UT 84116-1539 | 2020-09-05 |
1699258954 | Altavista Healthcare Group, LLC | Clinic/Center | 154 E Myrtle Ave Ste 100, Murray, UT 84107-4850 | 2018-09-12 |
1649704032 | Layton Chiropractic & Accident Rehabilitation | Clinic/Center | 872 Heritage Park Blvd, Suite 130, Layton, UT 84041-5714 | 2017-04-12 |
1811351844 | Silver Lake Healthcare, Inc. | Clinic/Center | 1385 W 2200 S Ste 201, Salt Lake City, UT 84119-7208 | 2016-04-06 |
1316387699 | Pomarri LLC | Clinic/Center | 1472 E 820 N, Orem, UT 84097-5481 | 2013-07-01 |
1326353806 | Rehab Services Inc | Clinic/Center | 340 N 900 E, Nephi, UT 84648-1658 | 2010-08-09 |
1306176748 | Integral Rehabilitation, LLC | Clinic/Center | 6771 S 900 E, Midvale, UT 84047-1436 | 2010-01-07 |
1851563084 | Deseret Therapy, Inc | Clinic/Center | 500 N Market Place Dr, Ste 203, Centerville, UT 84014-1708 | 2008-03-27 |
1174540058 | Ihc Health Services, Inc. | Clinic/Center | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2006-07-16 |
1790238145 | University of Utah Life Skills Clinic | Clinic/Center | 540 S Arapeen Dr Ste 200, Salt Lake City, UT 84108-1216 | 2016-08-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.