THETA WELLNESS CENTER
NPI 1891036497
Nurse Practitioner in Provo, UT

Q: What is Theta Management Corporation's NPI number?

The NPI number for Theta Management Corporation is 1891036497. It was assigned to this organization in the NPPES registry on March 6, 2013. The provider is doing business as Theta Wellness Center.

Q: What is Theta Management Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 06, 2013

524 W 300 N, SUITE 102, PROVO, UT 84601(801) 852-1400 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Theta Wellness Center NPPES

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

THETA WELLNESS CENTER (NPI 1891036497) is a healthcare organization registered as a nurse practitioner in Provo, Utah and active in the NPI registry since March 2013. The organization lists Kendra A. Bernal, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891036497

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameTHETA MANAGEMENT CORPORATION

Location Address524 W 300 N, SUITE 102Provo, UT 84601-2667

Mailing Address524 W 300 N, Suite 102Provo, UT 84601-2667 · (801) 852-1400

Phone(801) 852-1400

Organization SubpartNo

Authorized OfficialKendra A. BernalOffice Manager · (801) 852-1400

Enumeration DateMarch 6, 2013

✔ NPI 1891036497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedChiropractorTaxonomy 111N00000X

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X

Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X

Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X

Also ListedLicensed Practical NurseTaxonomy 164W00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedHealth EducatorTaxonomy 174H00000X

Also ListedHomeopathTaxonomy 175L00000X

Also ListedTechnician, Pathology · PhlebotomyTaxonomy 246RP1900X

524 W 300 N, Provo, UT 84601

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Other Names 1

Doing Business AsTheta Wellness Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

WHOLEHEALTH MEDICAL AND WELLNESS

Family Medicine

524 W 300 N, SUITE 203
PROVO, UT 84601

Utah County (801) 607-5270

TYLER JON JAMES PT

Physical Therapist

524 W 300 N
PROVO, UT 84601

Utah County (801) 225-0584

JUSTIN GRANT BROWN DPT

Physical Therapist

524 W 300 N
PROVO, UT 84601

Utah County (801) 370-9981

DR. JOSHUA DAVID RYMER PT,DPT,CLT

Physical Therapist

524 W 300 N, 201
PROVO, UT 84601

Utah County (801) 370-9981

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 Theta Management Corporation's NPI number?

The NPI number for Theta Management Corporation is 1891036497. It was assigned to this organization in the NPPES registry on March 6, 2013. The provider is doing business as Theta Wellness Center.

Where is Theta Management Corporation located?

Theta Management Corporation is located at 524 W 300 N Suite 102, Provo, UT 84601. The listed phone number is (801) 852-1400.

What is Theta Management Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Theta Management Corporation was last updated on March 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.