Active NPI
Andrew J Reheisse, D.C.
- Sports Physician Chiropractor
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 9123542-1202
- Practice address
- 1996 E 6400 S Ste 260
Murray, UT 84121-2173 - Phone
- (801) 944-1855
- Fax
- (385) 351-5950
- NPI assigned
- Sep 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 9123542-1202 | UT | Primary |
| Chiropractor | 111N00000X | 9123542-1202 | UT |
Addresses
Primary practice location
1996 E 6400 S Ste 260
Murray, UT 84121-2173
Mailing address
7351 S Union Park Ave Ste 150
Midvale, UT 84047-1869
Phone (801) 944-1855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7351 S Union Park Ave
Suite 150
Midvale, UT 84047-1869
Phone (801) 944-1855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9123542-1202 | UT | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Sport & Spine | Chiropractor | Current | Accepting new patients |
| Sports Chiropractic of Utah LLC | Chiropractor | Past | Accepting new patients |
Locations
1996 E 6400 S
Ste 260
Murray, UT 84121
Phone (801) 944-1855
6713 S 1300 E
Salt Lake City, UT 84121
Phone (801) 942-1912
7351 S Union Park Ave
Ste 150
Sandy, UT 84047
Phone (801) 944-1855
Networks
- UT PPO
- UT PPO D-SNP
Organizations & group practices 2
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.
-
- Sports Physician Chiropractor
- Murray, UT
- NPI 1649646969
-
- Chiropractor
- Midvale, UT
- NPI 1104372184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1003217449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7351 S UNION PARK AVE STE 150",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471869",
"telephone_number": "801-944-1855",
"fax_number": "385-351-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1996 E 6400 S STE 260",
"city": "MURRAY",
"state": "UT",
"postal_code": "841212173",
"telephone_number": "801-944-1855",
"fax_number": "385-351-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REHEISSE",
"first_name": "ANDREW",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-04",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "UT",
"license": "9123542-1202",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "9123542-1202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.