ROOTS PEDIATRIC THERAPY (NPI# 1962024943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962024943 |
| Entity Type | Organization |
| Organization Name | ROOTS PEDIATRIC THERAPY |
| Practice Address |
5976 Kingsford Ave Park City UT 84098-6315 |
| Practice Telephone | 9077443978 |
| Mailing Telephone | 9077443978 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | ROBYN THOMPSON (OWNER) |
| Authorized Official Telephone | 9077443978 |
| Authorized Official Credential | PHD, OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1972843712 | 05 |
| Street Address |
5976 KINGSFORD AVE |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-6315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069532 | Natasha Nicolle Peterson | Nurse Practitioner | Stat Md, 1784 Uinta Way E, Park City, UT 84098 | 2019-02-19 |
| 1750732079 | Rebecca Hansen | Physical Therapist | 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 | 2016-06-28 |
| 1497126130 | Megan Franz | Counselor | 3100 Pinebrook Rd, Park City, UT 84098 | 2015-10-07 |
| 1568752541 | Kortney James Stirland | Pharmacist | 750 Round Valley Drive #203, Park City, UT 84098 | 2011-04-12 |
| 1265763379 | Amy S Koch | Physical Therapy Assistant | 1640 West Redstone Drive, Suite 200, Park City, UT 84098 | 2010-01-29 |
| 1134374648 | Donna B Fischer | General Practice | 6531 N Landmark Dr., Park City, UT 84098 | 2008-11-25 |
| 1962659458 | Patricia A Lindsay Phd Inc | Psychologist | 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 | 2008-08-26 |
| 1437314291 | Jeffrey S Holverson | Internal Medicine | 6240 N Snowview Dr, Park City, UT 84098 | 2008-07-22 |
| 1578728515 | Blair Archbold Smith | Physical Therapist | 6880 Canyon Drive Court, Park City, UT 84098 | 2008-07-18 |
| 1821255274 | Beth Anita Rylands | Physical Therapy Assistant | 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 | 2008-05-21 |
| Find all providers in zip 84098 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902036072 | Denise Kulczycki Adams | Occupational Therapist | 4229 Southridge Ct, Park City, UT 84098-4704 | 2009-07-22 |
| 1215951405 | Melinda Beth Shellenberger | Occupational Therapist | 1811 E Beaumont St, Park City, KS 67219-2420 | 2006-07-27 |
| 1063761914 | Maesha Miller | Occupational Therapist | 2760 Rasmussen Rd, Summit Ctr, Bldg D, Park City, UT 84098-5684 | 2012-09-06 |
| 1790925394 | Tyrene L Christopulos | Occupational Therapist | 2760 Rasmussen Rd, Park City, UT 84098-5684 | 2009-02-23 |
| 1992905350 | Jessica Falik Kahn | Occupational Therapist | 1910 Prospector Ave, Suite 201, Park City, UT 84060-7211 | 2007-07-23 |
| 1790843175 | Successful Child Therapy LLC | Occupational Therapist | 1811 E Beaumont St, Park City, KS 67219-2420 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1972843712 | Robyn Thompson | Occupational Therapist | 540 S Arapeen Dr Ste 200, Salt Lake City, UT 84108-1216 | 2013-02-14 |
| 1477751154 | Ryan Edgar Winn | Occupational Therapist | 6810 Old Main Hill, Logan, UT 84322-6813 | 2007-07-05 |
| 1518577857 | Emma Christman | Occupational Therapist | 12453 S 265 W Ste B, Draper, UT 84020-5420 | 2020-08-02 |
| 1083230726 | Margaret Nielson | Occupational Therapist | 24 W Sergeant Court Dr Ste 204, Saratoga Springs, UT 84045-5809 | 2020-06-18 |
| 1639739048 | Mckenzie Danielle Falck | Occupational Therapist | 201 W Layton Pkwy Fl 3, Layton, UT 84041-3692 | 2019-06-18 |
| 1144785155 | Joy Green | Occupational Therapist | 6802 Old Main Hl, Logan, UT 84322-6802 | 2019-02-04 |
| 1134683774 | Michelle Lynn Schierl | Occupational Therapist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-01-28 |
| 1356891899 | Children's Ability Services, LLC | Occupational Therapist | 2317 N Hill Field Rd, Suite 103, Layton, UT 84041-4781 | 2016-10-08 |
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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.