Organization Active NPI

Tooele Physical Therapy PLLC

Doing business as Tooele Physical Therapy PLCC

  • Physical Therapist
  • Grantsville, UT
National Provider Identifier
1053168153
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TOOELE PHYSICAL THERAPY PLLC
Doing business as
Tooele Physical Therapy PLCC
Practice address
225 E Main St Ste B
Grantsville, UT 84029-9031
Phone
(435) 244-2422
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Danielle Joyce Rohrbacher MooradNPI 1104231224
Title
Owner
Phone
(435) 244-2422

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

225 E Main St Ste B
Grantsville, UT 84029-9031

Mailing address

225 E Main St Ste B
Grantsville, UT 84029-9031
Phone (435) 244-2422

Other names 1

  • Tooele Physical Therapy PLCC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240522001172 UT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668814641 Receives reassigned benefits from 1 practitioner
Practice locations: Grantsville, UT

National Provider Directory

National Provider Directory

Locations

225 E Main St
Ste B
Grantsville, UT 84029
Phone (435) 244-2422

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": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1053168153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E MAIN ST STE B",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840299031",
            "telephone_number": "435-244-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E MAIN ST STE B",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840299031",
            "telephone_number": "435-244-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOELE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2025-09-02",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "MOORAD",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "JOYCE ROHRBACHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-244-2422"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooele Physical Therapy PLCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grantsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.