Mountain Land Rehabilitation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOUNTAIN LAND REHABILITATION

Practice address

1952 East 7000 South
Salt Lake City, UT 84121

Phone

(801) 942-3311

Fax

(801) 942-5955

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Nicole Brunson

Title

Recruiter

Phone

(801) 942-3311

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric D Lybbert, PT

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1285728402
  NPD

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1013347152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711185",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841711185",
            "telephone_number": "801-942-3311",
            "fax_number": "801-942-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 EAST 7000 SOUTH",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-942-3311",
            "fax_number": "801-942-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LAND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "RECRUITER",
        "authorized_official_telephone_number": "801-942-3311"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ann Moulton, PA-C
• Olivia A. Moumne, MD
• Gladyann Moungaafi
• Mount Olympus Optical
• Mountain Land Outpatient Services
• Mountain Land Rehabilitation LLC
• Mountain Mental Health LLC
• Mountain Sun Medical, PLLC
• Mountain View Foot Clinic LLC
• Mountain View Therapy Group LLC

• Skilled Nursing Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.