Individual provider Active NPI

Todd Chynoweth, R.P.T.

  • Physical Therapist
  • Sandy, UT
National Provider Identifier
1003053596
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
276912-2401 Issued in UT
Practice address
850 East 9400 South
Suite 103
Sandy, UT 84094
Phone
(801) 576-6417
Fax
(801) 576-7536
NPI assigned
Jan 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 276912-2401 UT Primary

Addresses

Primary practice location

850 East 9400 South
Suite 103
Sandy, UT 84094

Mailing address

850 E 9400 S
Suite 103
Sandy, UT 84094-3632
Phone (801) 576-6417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
276912-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Knee and Hip Rehabilitation Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1003053596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E 9400 S",
            "address_2": "SUITE 103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943632",
            "telephone_number": "801-576-6417",
            "fax_number": "801-576-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 EAST 9400 SOUTH",
            "address_2": "SUITE 103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84094",
            "telephone_number": "801-576-6417",
            "fax_number": "801-576-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHYNOWETH",
        "first_name": "TODD",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "276912-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.