NORTHERN HOLDINGS (NPI# 1568960037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568960037 |
| Entity Type | Organization |
| Organization Name | NORTHERN HOLDINGS |
| Other Organization Name | ADVANTAGE PHYSICAL THERAPY |
| Practice Address |
6321 S Redwood Rd Ste 100 Taylorsville UT 84123-6799 |
| Mailing Address |
6321 S Redwood Rd Ste 107 Taylorsville UT 84123-6799 |
| Practice Telephone | 8012811525 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | JACOB EREKSON (DPT/CONSULTANT) |
| Authorized Official Telephone | 8012811525 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN HOLDINGS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Advantage Physical Therapy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NORTHERN HOLDINGS GROUP, LLC | 336 Elm Street, Malone, Ny 12953 |
| Street Address |
6321 S REDWOOD RD STE 100 |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84123-6799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184281107 | Shannon Lee Higginson | Physical Therapist | 3845 W 4700 S, Taylorsville, UT 84129-3454 | 2019-05-24 |
| 1255836086 | Shawn Phillip Maskalick | Physical Therapist | 4813 Taylorsville Rd, Taylorsville, KY 40071-9739 | 2018-03-25 |
| 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 |
| 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 |
| 1558712455 | Tyler Landgren | Physical Therapist | 5349 Adams Ave Pkwy Ste A, Ogden, UT 84405-4736 | 2016-06-22 |
| 1891155057 | Steven Mohlman | Physical Therapist | 39 C St, Springville, UT 84663-2359 | 2016-03-02 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORSVILLE |
| Zip Code | 84123 |
Please comment or provide details below to improve the information on NORTHERN HOLDINGS.
| 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.