IndividualActive
Lacy Petersen
NPI 1669634465 · Occupational Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1669634465
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3646 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1952 E 7000 S
Salt Lake City, UT 84121-6877
Phone: (801) 942-3311
Fax: (801) 495-5303
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 711185
Salt Lake City, UT 84171-1185
Registry dates
- Enumerated
- 2008-07-02
- Last updated
- 2008-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.