Organization Active NPI

CSC Physical Therapy

Doing business as CSC PT

  • Physical Therapist
  • Lehi, UT
National Provider Identifier
1093188740
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CSC PHYSICAL THERAPY
Doing business as
CSC PT
Practice address
2183 W Main St Ste A101
Lehi, UT 84043-6761
Phone
(385) 352-5116
Fax
(801) 407-1692
NPI assigned
Nov 3, 2015
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Scott Stoddard
Title
Cfo
Phone
(480) 205-1325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2183 W Main St Ste A101
Lehi, UT 84043-6761

Mailing address

2183 W Main St Ste A101
Lehi, UT 84043-6761
Phone (385) 352-5116

Other names 1

  • CSC PT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171116002552 UT Part B Supplier - Clinic/Group Practice 9032475439 Receives reassigned benefits from 2 practitioners
Practice locations: Lehi, UT

National Provider Directory

National Provider Directory

Locations

394 W Main St
Ste 102
Lehi, UT 84043
Phone (385) 352-5116

1292 N Redwood Rd
Saratoga Springs, UT 84045

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1093188740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 W MAIN ST STE A101",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436761",
            "telephone_number": "385-352-5116",
            "fax_number": "801-407-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 W MAIN ST STE A101",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436761",
            "telephone_number": "385-352-5116",
            "fax_number": "801-407-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "STODDARD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "480-205-1325"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSC PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.