TYLER LANDGREN (NPI# 1558712455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558712455 |
| Entity Type | Individual |
| Full Name | TYLER LANDGREN |
| Practice Address |
5349 Adams Ave Pkwy Ste A Ogden UT 84405-4736 |
| Practice Telephone | 8014799865 |
| Practice Fax Number | 8014795846 |
| Mailing Telephone | 8014799865 |
| Mailing Fax Number | 8014795846 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
9801160-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5349 ADAMS AVE PKWY STE A |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306407937 | Lacey White | Physical Therapist | 5349 Adams Ave Pkwy Ste A, Ogden, UT 84405-4736 | 2019-06-25 |
| 1316442494 | Danielle Khoury | Physical Therapist | 5349 Adams Ave Pkwy Ste A, Ogden, UT 84405-4736 | 2018-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972157576 | Tyson Jorgensen | Physical Therapist | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2019-07-31 |
| 1316442494 | Danielle Khoury | Physical Therapist | 5349 Adams Ave Pkwy Ste A, Ogden, UT 84405-4736 | 2018-03-29 |
| 1720325822 | Stacie Brooke Salmond | Physical Therapist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2013-01-09 |
| 1851641435 | Jaime Ann Pedersen | Physical Therapist | 5349 Adams Ave Pkwy, Suite A, Ogden, UT 84405-4736 | 2012-09-11 |
| 1821198540 | Aja Evertsen Merrill | Physical Therapist | 5856 Harrison Blvd, Suite A, Ogden, UT 84403-4397 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940670 | Austin Jay Nielsen | Physical Therapist | 155 W Canyon Crest Rd Ste 100, Alpine, UT 84004-2031 | 2019-09-04 |
| 1669934378 | Heidi Olsen Tidwell | Physical Therapist | 1551 Renaissance Towne Dr Ste 420, Bountiful, UT 84010-7677 | 2019-04-02 |
| 1689148454 | Sargent Doil Barnett | Physical Therapist | 822 Turf Farm Rd Unit 3, Payson, UT 84651-5797 | 2019-01-15 |
| 1770054918 | Craft Physical Therapy | Physical Therapist | 537 W 600 S, Salt Lake City, UT 84101-2249 | 2018-12-16 |
| 1902390123 | Andrea Marie Hendricks Harper | Physical Therapist | 98 N 1100 E Ste 402, American Fork, UT 84003-2951 | 2018-06-20 |
| 1568960037 | Northern Holdings | Physical Therapist | 6321 S Redwood Rd Ste 100, Taylorsville, UT 84123-6799 | 2018-01-30 |
| 1134636269 | Elevation Physical Therapy | Physical Therapist | 985 W Riverdale Rd Ste 2, Riverdale, UT 84405-5601 | 2018-01-10 |
| 1336652957 | Brian Lewis Wike I | Physical Therapist | 1868 W 9800 S Ste 200, South Jordan, UT 84095-4713 | 2017-11-06 |
| 1538616230 | Michelle Smith | Physical Therapist | 1794 Olympic Pkwy, Suite 140, Park City, UT 84098-6387 | 2016-09-09 |
| 1891155057 | Steven Mohlman | Physical Therapist | 39 C St, Springville, UT 84663-2359 | 2016-03-02 |
| Find all providers with the same taxonomy | ||||
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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.