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

Organization subpart

No

Name

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

Title

Owner

Phone

(435) 865-1902

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

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

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

• 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

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2007.

{
    "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
• Southern Utah Vision Care PLLC
• Southern Utah Vision Care, Inc.

• All providers in Cedar City, UT
• 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.