JAN BLACK (NPI# 1568429967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568429967 |
| Entity Type | Individual |
| Full Name | JAN BLACK |
| Credential | MS, PT |
| Practice Address |
90 Albion Village Way Sandy UT 84070-4013 |
| Practice Telephone | 8016193670 |
| Practice Fax Number | 8016193679 |
| Mailing Telephone | 8016193670 |
| Mailing Fax Number | 8016193679 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
120890-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
90 ALBION VILLAGE WAY |
| City | SANDY |
| State | UT |
| Zip Code | 84070-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408822 | Nicole Pasdera | Physical Therapist | 90 Albion Village Way, Sandy, UT 84070-4013 | 2020-02-05 |
| 1245796895 | Ashlyn Shaye Rittmanic | Physical Therapist | 90 Albion Village Way, Sandy, UT 84070-4013 | 2019-02-19 |
| 1194280602 | Anita Dromey | Speech-Language Pathologist | 90 Albion Village Way, Sandy, UT 84070-4013 | 2019-02-08 |
| 1366945362 | Nicole Nagata | Occupational Therapist | 90 Albion Village Way, Sandy, UT 84070-4013 | 2018-03-15 |
| 1114390796 | Kyle Byrnes | Specialist/Technologist | 90 Albion Village Way, Sandy, UT 84070-4013 | 2015-11-04 |
| 1477931103 | Marissa Lou Moran | Physical Therapist | 90 Albion Village Way, Sandy, UT 84070-4013 | 2015-05-14 |
| 1194077966 | Nellie Alexandra Muscarello | Occupational Therapist | 90 Albion Village Way, Sandy, UT 84070-4013 | 2012-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777568 | Megan Komatsu Inc. | Social Worker | 10815 700 East, Sandy, UT 84070 | 2020-10-13 |
| 1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
| 1245840552 | Kirandeep Kaur | Psychologist | 9678 700 E # 102, Sandy, UT 84070 | 2020-08-03 |
| 1740890961 | Elizabeth Lowe Madsen | Counselor | 9678 700 East Suite 102, Sandy, UT 84070 | 2020-08-03 |
| 1417597188 | Hayley Burr | Counselor | 8706 700 E, Suite 205, Sandy, UT 84070 | 2020-01-10 |
| 1821656422 | Karen Ritchie | Counselor | 9192 South 300 West, Sandy, UT 84070 | 2019-05-30 |
| 1679068159 | Derek Livingston | Counselor | 11075 State St #35, Sandy, UT 84070 | 2018-06-27 |
| 1891283735 | Alta Rx LLC. | Pharmacy | 9883 South 500 West, Sandy, UT 84070 | 2018-04-26 |
| 1790273704 | The Addiction Medicine Physicians Group, LLC | Registered Nurse | 9160 S 300 E. Ste 25, Sandy, UT 84070 | 2018-04-25 |
| 1841794765 | Caryn Beazel | Physical Therapist | 9350 150 E, Sandy, UT 84070 | 2018-03-23 |
| Find all providers in zip 84070 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1235321811 | The Dr. Dale B. Hull Foundation for Neurological Rehabilitation, Inc. | Physical Therapist | 90 W Albion Village Way, Sandy, UT 84070-4013 | 2007-08-16 |
| 1245796895 | Ashlyn Shaye Rittmanic | Physical Therapist | 90 Albion Village Way, Sandy, UT 84070-4013 | 2019-02-19 |
| 1477931103 | Marissa Lou Moran | Physical Therapist | 90 Albion Village Way, Sandy, UT 84070-4013 | 2015-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740843697 | Axial-im | Physical Therapist | 12427 S Pasture Rd Ste 202, Riverton, UT 84096-5607 | 2019-04-17 |
| 1811381767 | Lindsey Lauritsen | Physical Therapist | 3903 Harrison Blvd Ste 400, Ogden, UT 84403-2382 | 2015-03-27 |
| 1962727727 | Spencer John Thompson | Physical Therapist | University of Utah Medical Ctr, 50 N Medical Drive, Salt Lake City, UT 84132-0001 | 2010-04-05 |
| 1114044187 | Diane E. Nicholson | Physical Therapist | 520 Wakara Way Ste 320, University of Utah, Salt Lake City, UT 84108-1213 | 2007-03-23 |
| 1639228927 | Robert Willard Shingleton | Physical Therapist | 1770 Meadow Downs Way, Cottonwood Heights, UT 84121-2963 | 2007-01-09 |
| 1972148104 | Jessica Tereese Voorhees | Physical Therapist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2019-11-12 |
| 1649750621 | Nicholas Burke | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2018-08-18 |
| 1811477326 | Casey Shane Smith | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2018-08-15 |
| 1851744965 | Molly Watkins | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2016-07-14 |
| 1285081356 | Andrew Scott Riddle | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2016-05-18 |
| 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.