Aetos LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

AETOS LLC

Practice address

4386 W Monument Peak Dr
Herriman, UT 84096-3108

Phone

(801) 450-0008

NPI assigned

Aug 14, 2024

Organization subpart

No

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

Authorized official

Name

Jason Danielson

Title

Physical Therapist

Phone

(801) 450-0008

Specialties & licenses 1

Addresses

Practitioners 1

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

• Faustin Chad Vigil

  • Physician Assistant
  • Cottonwood Heights, UT
  • NPI 1821502469
  NPD

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1073345682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4386 W MONUMENT PEAK DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840963108",
            "telephone_number": "801-450-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4386 W MONUMENT PEAK DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840963108",
            "telephone_number": "801-450-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "DANIELSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-450-0008"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abundant Dental Care, P.C.
• Anna Lee Adams, RPH
• Marie Alexander, MSN, PMHNP-BC, APRN
• Lindsey Anne Alldredge
• Elisa Amador
• Chad O Anderson, O.D.
• Hayleigh Electa Anderson

• Physical Medicine & Rehabilitation Physician in Herriman, UT
• Providers in Herriman, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.