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Jade M. Ibarra

NPI 1801653068ActiveIndividual· Recreation Therapist· South Salt Lake, UT

Recreation Therapist in South Salt Lake, Utah, licensed in UT, with an NPI issued in March 2024.

Overview

NPI1801653068
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMar 4, 2024
Last updated in NPPESMar 4, 2024
Certified by providerMar 4, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Recreation Therapist Primary225800000X13341839-4003UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Recreation Therapist providers in South Salt Lake

All Recreation Therapist providers in Utah