Performance Rehab Clinic-Salt Lake

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PERFORMANCE REHAB CLINIC-SALT LAKE

Practice address

7827 S Highland Dr
Cottonwood Heights, UT 84121-5032

Phone

(801) 938-9234

Fax

(801) 849-8416

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Daniel G Mills, MPTNPI 1710196944

Title

President

Phone

(801) 938-9234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 4

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

• Daniel G Mills, MPT

  • Physical Therapist
  • Cottonwood Heights, UT
  • NPI 1710196944
  Medicare reassignment Care Compare group NPD Authorized official
• Tyler Lewis, DPT

  • Physical Therapist
  • Cottonwood Heights, UT
  • NPI 1871333757
  Medicare reassignment Care Compare group NPD
• Oryslava Sorensen

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1881859767
  Medicare reassignment NPD
• Jennifer L Gutierrez, MSPT

  • Physical Therapist
  • Menlo Park, CA
  • NPI 1740388297

  UT

  Medicare reassignment NPD

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1114055837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711088",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841711088",
            "telephone_number": "801-924-4214",
            "fax_number": "801-924-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7827 S HIGHLAND DR",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215032",
            "telephone_number": "801-938-9234",
            "fax_number": "801-849-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE REHAB CLINIC-SALT LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-938-9234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Parrish
• Daisy Payton
• Peak Pathways Therapy
• Tylee Peak
• Kelsey Pearson, MS, RD
• Ashlyn Perrero
• Grace Peters
• Breanna Peterson
• Camilla Peterson
• Cyndi Lynn Peterson

• Physical Therapy Clinic/Center in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Physical Therapy Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.