OrganizationActive
Roots Pediatric Therapy
NPI 1962024943 · Pediatric Occupational Therapist · Park City, UT
Provider details
- NPI number
- 1962024943
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Robyn Thompson, Owner(907) 744-3978
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
5976 Kingsford Ave
Park City, UT 84098-6315
Phone: (907) 744-3978
Approximate (ZIP-level) locationGet directions
Mailing address
5976 Kingsford Ave
Park City, UT 84098-6315
Registry dates
- Enumerated
- 2020-05-12
- Last updated
- 2020-05-12
- Certified
- 2020-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.