JARED WADSWORTH (NPI# 1356820609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356820609 |
| Entity Type | Individual |
| Full Name | JARED WADSWORTH |
| Credential | DC, MS |
| Practice Address |
2230 N University Pkwy #6b Provo UT 84604-8460 |
| Mailing Address |
2230 N University Pkwy Ste 6b Provo UT 84604-1584 |
| Practice Telephone | 8012359944 |
| Practice Fax Number | 8012359955 |
| Mailing Telephone | 8012359944 |
| Mailing Fax Number | 8012359955 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
10320622-1202 | UT | Chiropractic Providers |
| Street Address |
2230 N UNIVERSITY PKWY #6B |
| City | PROVO |
| State | UT |
| Zip Code | 84604-8460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962795252 | Jonathan Snow Pllc | Chiropractor | 2230 N University Pkwy, Ste. 6b, Provo, UT 84604-1509 | 2011-05-19 |
| 1003088402 | Provo Sports and Family Chiropractic, Inc. | Chiropractor | 777 N 500 W Ste 205, Provo, UT 84601-1596 | 2008-03-26 |
| 1306934393 | Eric J Brady | Chiropractor | 777 N 500 W, Suite 205, Provo, UT 84601-1541 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844523 | Richard Mason Stewart IIi | Chiropractor | 12371 S 900 E Ste 101, Draper, UT 84020-9834 | 2020-06-02 |
| 1124517982 | Aspen Summit Chiropractic and Wellness | Chiropractor | 726 South 1600 West Suite 101, Mapleton, UT 84664 | 2018-05-08 |
| 1558875930 | Garrett Dean Barfoot | Chiropractor | 2080 Gold Dust Ln Ste 1, Park City, UT 84060-7294 | 2017-11-21 |
| 1396159885 | Tyler Leroy Nelson | Chiropractor | 1951 W 4700 S Ste 2, Taylorsville, UT 84129-1108 | 2014-06-12 |
| 1922347137 | James Garrett Eagar | Chiropractor | 510 E 770 N, Orem, UT 84097-4101 | 2013-02-07 |
| 1932430782 | Russell D. Jepson | Chiropractor | 301 N 200 E Ste 2a, St George, UT 84770-3040 | 2010-01-19 |
| 1689813446 | Elite Performance Health Center, PC | Chiropractor | 3630 W South Jordan Parkway, Suite 102, South Jordan, UT 84095-7153 | 2009-02-18 |
| 1003055534 | Brigham Lundahl | Chiropractor | 358 W Saint George Blvd, St George, UT 84770-3352 | 2009-02-06 |
| 1770757569 | Matthew David Smith | Chiropractor | 13552 S 110 W, Ste 204, Draper, UT 84020-2403 | 2008-04-14 |
| 1134347453 | Glenn Robert Day | Chiropractor | 1283 W 12600 S, Suite 203, Riverton, UT 84065-7118 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
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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.