Active NPI
Charlotte Rutherfurd
- Physical Medicine & Rehabilitation Physician
- SLC, UT
National Provider Identifier
1164030110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 116485952401
- Practice address
- 1050 E South Temple
SLC, UT 84102-1507 - Phone
- (617) 671-8924
- NPI assigned
- Jul 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 116485952401 | UT | Primary |
Addresses
Primary practice location
1050 E South Temple
SLC, UT 84102-1507
Mailing address
29 Gomez Rd
Hobe Sound, FL 33455-2213
Phone (617) 671-8924
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | charlotte.rutherfurd@ensign.com | Health Information Exchange (HIE) | |
| CONNECT URL | charlotte.rutherfurd@gmail.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116485952401 | UT | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1164030110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 GOMEZ RD",
"city": "HOBE SOUND",
"state": "FL",
"postal_code": "334552213",
"telephone_number": "617-671-8924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E SOUTH TEMPLE",
"city": "SLC",
"state": "UT",
"postal_code": "841021507",
"telephone_number": "617-671-8924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTHERFURD",
"first_name": "CHARLOTTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "UT",
"license": "116485952401",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "charlotte.rutherfurd@ensign.com",
"affiliation": "N",
"endpointDescription": "ensign",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1050 E South Temple",
"city": "Slc",
"state": "UT",
"country_code": "US",
"postal_code": "841021507",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "charlotte.rutherfurd@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1050 E South Temple",
"city": "Slc",
"state": "UT",
"country_code": "US",
"postal_code": "841021507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.