Riverton Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RIVERTON PHYSICAL THERAPY, INC.

Practice address

12197 S Draper Gate Dr Ste B
Draper, UT 84020-8078

Phone

(801) 523-3415

Fax

(801) 523-1843

NPI assigned

Feb 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin L Shepherd, P.T.

Title

Owner

Phone

(801) 523-3415

Specialties & licenses 1

Addresses

Other names 1

• South Mountain Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1073588240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12197 S DRAPER GATE DR STE B",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208078",
            "telephone_number": "801-523-3415",
            "fax_number": "801-523-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12197 S DRAPER GATE DR STE B",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208078",
            "telephone_number": "801-523-3415",
            "fax_number": "801-523-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTON PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-523-3415",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Mountain Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Mountain Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raul Rios Raya
• Spencer Risk, D.C.
• Wesley Vaughn Rissell, PT, DPT
• Dafne Rivera-Saavedra
• Dabria Rivera
• Billie Rivetti
• Kimberly Roach, PT, DPT
• Robb L Leishman D.C. Inc.
• Athena Anastassia Inez Robbins
• Edward James Robbins

• Physical Therapist in Draper, UT
• Providers in Draper, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.