Southern Utah Physical Therapy & Rehabilitation P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

132675 Issued in UT

Legal business name

SOUTHERN UTAH PHYSICAL THERAPY & REHABILITATION P.C.

Practice address

166 W 1325 N
Suite 100
Cedar City, UT 84720-7792

Phone

(435) 586-0064

Fax

(435) 867-1243

NPI assigned

Jan 10, 2007

Last updated

Dec 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Randy J Forsyth, P.T.NPI 1598704983

Title

Owner

Phone

(435) 865-1902

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Southern Utah Physical Therapy & Rehabilitation P.C.

  • Physical Therapist
  • Cedar City, UT
  • NPI 1447309182

  3779485347

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southern Utah Physical Therapy & Rehabilitation P.C.

  • Physical Therapist
  • Cedar City, UT
  • NPI 1447309182

  O20040123000474

  Same enrollment

Locations

Practitioners 7

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.

• Randy Joe Forsyth, P.T.

  • Physical Therapist
  • Cedar City, UT
  • NPI 1598704983
  Medicare reassignment Care Compare group NPD Authorized official
• Brady K Englestead, M.P.T.

  • Physical Therapist
  • Cedar City, UT
  • NPI 1164455887
  Medicare reassignment Care Compare group NPD
• Bradyk Jones Englestead, DPT, PT

  • Physical Therapist
  • Cedar City, UT
  • NPI 1932827276
  Medicare reassignment Care Compare group NPD
• Kregg Tyler Lunt, MSPT

  • Physical Therapist
  • Cedar City, UT
  • NPI 1790711190
  Medicare reassignment Care Compare group NPD
• Adam L Mendenhall, M.P.T.

  • Physical Therapist
  • Cedar City, UT
  • NPI 1780600049
  Medicare reassignment Care Compare group NPD
• Benjamin M Bahr

  • Physical Therapist
  • Cedar City, UT
  • NPI 1437726908
  Medicare reassignment NPD
• Gail Tyler Brinkerhoff, M.S.P.T.

  • Physical Therapist
  • Cedar City, UT
  • NPI 1386660637
  Medicare reassignment NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1164571758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W 1325 N",
            "address_2": "SUITE 100",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847207792",
            "telephone_number": "435-586-0064",
            "fax_number": "435-867-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W 1325 N",
            "address_2": "SUITE 100",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847207792",
            "telephone_number": "435-586-0064",
            "fax_number": "435-867-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN UTAH PHYSICAL THERAPY & REHABILITATION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "FORSYTH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-865-1902",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "132675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie D Sorensen, LDEM CPM
• Soul Taxi
• Southern Utah Mental Health, Inc.
• Southern Utah MRI, Inc.
• Southern Utah Physical Therapy & Rehabilitation
• Southern Utah Physical Therapy & Rehabilitation P.C.
• Southern Utah Speech Therapy Inc.
• Southern Utah University (Community & Family Health Services)
• Southern Utah Vision Care PLLC
• Southern Utah Vision Care, Inc.

• Physical Therapist in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.