Organization Active NPI

Sundance Physical Therapy Farr West LLC

  • Physical Therapist
  • Farr West, UT
National Provider Identifier
1093966509
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7575 Issued in UT
Legal business name
SUNDANCE PHYSICAL THERAPY FARR WEST LLC
Practice address
2850 N 2000 W Ste 204
Farr West, UT 84404
Phone
(801) 731-5421
Fax
(801) 732-0303
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Clay Sniteman, PTNPI 1235295049
Title
Physical Therapist
Phone
(801) 731-5421

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 7575 UT Primary

Addresses

Primary practice location

2850 N 2000 W Ste 204
Farr West, UT 84404

Mailing address

2850 N 2000 W Ste 204
Farr West, UT 84404-9230
Phone (801) 731-5421

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090126000199 UT Part B Supplier - Clinic/Group Practice 4183788813 Receives reassigned benefits from 3 practitioners
Practice locations: Farr West, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1093966509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N 2000 W STE 204",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844049230",
            "telephone_number": "801-731-5421",
            "fax_number": "801-732-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N 2000 W STE 204",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "84404",
            "telephone_number": "801-731-5421",
            "fax_number": "801-732-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE PHYSICAL THERAPY FARR WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "SNITEMAN",
        "authorized_official_first_name": "CLAY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-731-5421",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "7575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farr West, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.