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ELIZA MAVIS ANDERSON
NPI 1770390684
Recreation Therapist in Provo, UT

Active since December 13, 2024

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eliza Mavis Anderson NPPES

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

ELIZA MAVIS ANDERSON (NPI 1770390684) is an individual recreation therapist in Provo, Utah, licensed in Utah (14195558-4003) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1770390684
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameELIZA MAVIS ANDERSON
Location Address1001 N 500 WProvo, UT 84604-3305
Mailing Address1460 E Shane CirSandy, UT 84092-5939 · (801) 906-9196
Phone(801) 377-9661
Sole ProprietorNo
Enumeration DateDecember 13, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1770390684 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
License✔ Licensed in UT · 14195558-4003
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.
1001 N 500 W, Provo, UT 84604
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Other Names 1

Other Name (5)Ellie Anderson Owen

Other Providers at the Same Location NPPES 16

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

ALYSSA NOEL COOK OTR/L
Occupational Therapist
1001 N 500 W
PROVO, UT 84604
Utah County (801) 377-9661
TANNER LUKE DPM
Podiatrist
1001 N 500 W
PROVO, UT 84604
Utah County (877) 674-1211
CONSUELO ISABEL GARZA
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Utah County (801) 377-9661
SUMMER ALYSE BROEKER
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Utah County (801) 377-9661
KATERINA CORRAL PENA-KENNAN
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Utah County (385) 608-2855
EMILY M CARLISLE
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Utah County (505) 435-5883
KIERA TAYLOR
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Utah County (801) 318-5761
KAREN SWISHER PTA
Physical Medicine & Rehabilitation
1001 N 500 W
PROVO, UT 84604
Utah County (801) 377-9661

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 Eliza Anderson's NPI number?

The NPI number for Eliza Anderson is 1770390684. It was assigned to this individual provider in the NPPES registry on December 13, 2024. The provider is also known as Ellie Anderson Owen.

Where is Eliza Anderson located?

Eliza Anderson practices at 1001 N 500 W, Provo, UT 84604. The listed phone number is (801) 377-9661.

What is Eliza Anderson'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 Eliza Anderson was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.