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CASSIDY T IMMAK
NPI 1063221265
Recreation Therapist in Roy, UT

Active since January 02, 2025

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cassidy T Immak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSIDY T IMMAK (NPI 1063221265) is an individual recreation therapist in Roy, Utah and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1063221265
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameCASSIDY T IMMAK
Location Address2700 W 5600 SRoy, UT 84067-1372
Mailing Address2700 W 5600 SRoy, UT 84067-1372 · (385) 380-9697
Phone(385) 380-9697
Sole ProprietorNo
Enumeration DateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1063221265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
2700 W 5600 S, Roy, UT 84067
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMIT MEDICAL GROUP LLC
Nurse Practitioner
2700 W 5600 S
ROY, UT 84067
Weber County (801) 867-9760
KELCIE HALL
Recreation Therapist
2700 W 5600 S
ROY, UT 84067
Weber County (801) 814-1014
BEAVER VALLEY HOSPITAL
Skilled Nursing Facility
2700 W 5600 S
ROY, UT 84067
Weber County (801) 825-9731
BEAVER VALLEY HOSPITAL
Clinic/Center (Physical Therapy)
2700 W 5600 S
ROY, UT 84067
Weber County (801) 825-9731
SERINA ESTELLE JENSEN
Recreation Therapist
2700 W 5600 S
ROY, UT 84067
Weber County (801) 825-9731
SARA ANN SPELLER MOTR/L
Occupational Therapist
2700 W 5600 S
ROY, UT 84067
Weber County (509) 230-4588
TRINITY MISSION HEALTH & REHAB OF ROY, LP
Skilled Nursing Facility
2700 W 5600 S
ROY, UT 84067
Weber County (801) 825-9731
KARLEEN BROADWATER TRT
Recreational Therapist Assistant
2700 W 5600 S
ROY, UT 84067
Weber County (801) 825-9731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassidy Immak's NPI number?

The NPI number for Cassidy Immak is 1063221265. It was assigned to this individual provider in the NPPES registry on January 2, 2025.

Where is Cassidy Immak located?

Cassidy Immak practices at 2700 W 5600 S, Roy, UT 84067. The listed phone number is (385) 380-9697.

What is Cassidy Immak's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Cassidy Immak was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.