Organization Active NPI

Precision Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Draper, UT
National Provider Identifier
1043537533
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
283805-2401 Issued in UT
Legal business name
PRECISION THERAPY INC.
Practice address
11760 S 700 E
Suite 112
Draper, UT 84020-6604
Phone
(801) 432-2200
Fax
(801) 432-2202
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Damon Aguirre, PTNPI 1588730220
Title
Physical Therapist
Phone
(801) 432-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 283805-2401 UT Primary

Addresses

Primary practice location

11760 S 700 E
Suite 112
Draper, UT 84020-6604

Mailing address

11760 S 700 E
Suite 112
Draper, UT 84020-6604
Phone (801) 432-2200

Other identifiers 1

IdentifierTypeStateIssuer
1588730220OtherUTTYPE 1 NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100513000857 UT Part B Supplier - Clinic/Group Practice 7416085303 Receives reassigned benefits from 1 practitioner
Practice locations: Draper, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1043537533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 S 700 E",
            "address_2": "SUITE 112",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206604",
            "telephone_number": "801-432-2200",
            "fax_number": "801-432-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 S 700 E",
            "address_2": "SUITE 112",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206604",
            "telephone_number": "801-432-2200",
            "fax_number": "801-432-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-432-2200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "283805-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1588730220",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.