SUMMER YACK (NPI# 1740711464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740711464 |
| Entity Type | Individual |
| Full Name | SUMMER YACK |
| Practice Address |
3895 Harrison Blvd Ogden UT 84403-2312 |
| Mailing Address |
10028 S 2200 W South Jordan UT 84095-9349 |
| Practice Telephone | 8013873600 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 10196114-2402 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3895 HARRISON BLVD |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346420882 | Mckay Dee Surgical Center LLC | Clinic/Center | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2007-11-13 |
| 1972157576 | Tyson Jorgensen | Physical Therapist | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2019-07-31 |
| 1417410309 | Shane Edwin Hancock | Pharmacist | 3895 Harrison Blvd, C/o 1st Floor Pharmacy, Ogden, UT 84403-8440 | 2019-04-09 |
| 1366917577 | Kevin Dale Newbold | Orthopaedic Surgery | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2018-10-04 |
| 1184117475 | Laila Gerace | Physical Therapist | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2018-06-11 |
| 1922543495 | Michelle Dawson | Specialist/Technologist | 3895 Harrison Blvd, Ogden, UT 84403-2311 | 2016-12-19 |
| 1215479555 | Justin Vernon Burr | Physical Therapist | 3895 Harrison Blvd, Ogden, UT 84403-2311 | 2016-11-16 |
| 1336692516 | Ihc Health Services Inc | Pharmacy | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2016-07-25 |
| 1043697154 | Ihc Health Services Inc | Orthopaedic Surgery | 3895 Harrison Blvd, Ogden, UT 84403-8440 | 2015-04-28 |
| 1619362480 | Justin Michael Johnson | Physician Assistant | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2015-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
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| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409093 | Jon Gabriel Osorio | Physical Therapy Assistant | 2701 University Cirlce, Ogden, UT 84408-0001 | 2018-06-05 |
| 1053647610 | Leslie Marie Miller | Physical Therapy Assistant | 1186 E 4600 S Ste 320, Ogden, UT 84403-4303 | 2009-11-02 |
| 1871128355 | Joel Trevino | Physical Therapy Assistant | 349 12th St, Ogden, UT 84404-5712 | 2020-03-05 |
| 1669017919 | Kaitlin Evans | Physical Therapy Assistant | 400 E 5350 S, Ogden, UT 84405-6931 | 2019-11-11 |
| 1063054161 | Neesha Wright | Physical Therapy Assistant | 375 E 5350 S, Ogden, UT 84405-6934 | 2019-10-10 |
| 1821630922 | Monica Ricardez | Physical Therapy Assistant | 375 E 5350 S, Ogden, UT 84405-6934 | 2019-10-10 |
| 1053871608 | Kirstine Adamson | Physical Therapy Assistant | 400 E 5350 S, Ogden, UT 84405-6931 | 2019-03-20 |
| 1932609567 | Heather Lovelady | Physical Therapy Assistant | 1102 N 1200 W, Ogden, UT 84404-3652 | 2018-02-20 |
| 1861928418 | Camille Koga | Physical Therapy Assistant | 3903 Harrison Blvd, Suite 400, Ogden, UT 84403-2314 | 2017-05-02 |
| 1518202738 | Traci Roberta Myers | Physical Therapy Assistant | 400 E 5350 S, Ogden, UT 84405-6931 | 2012-11-28 |
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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.