Roots Pediatric Therapy

LBN: Roots Pediatric Therapy
Roots Pediatric Therapy is an health care organization with primary practice located at 5976 Kingsford Ave , Park City UT 84098-6315. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty. Roots Pediatric Therapy can be contacted via phone (907) 744-3978, or through Thompson, Robyn via phone (907) 744-3978.

Contact Information

Primary practice address
5976 Kingsford Ave Park City UT 84098-6315
Fax:
Website:
Authorized official contact:
Name: Thompson, Robyn PHD, OTR/L

Profile Details

NPI number 1962024943
LBN Legal business name Roots Pediatric Therapy
DBA Doing business as
Authorized official Thompson, Robyn PHD, OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2020
Last updated May 12th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962024943 NPPES
Utah MEDICAID 1972843712

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