Individual provider Active NPI

Mila Ranovic, PT

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1205037348
Registry record updated May 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
117165-2401 Issued in UT
Practice address
4951 S 925 E
Salt Lake City, UT 84117-5704
Phone
(801) 815-3482
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 117165-2401 UT Primary

Addresses

Primary practice location

4951 S 925 E
Salt Lake City, UT 84117-5704

Mailing address

4951 S 925 E
Salt Lake City, UT 84117-5704
Phone (801) 815-3482

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651881600000",
    "number": "1205037348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 S 925 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175704",
            "telephone_number": "801-815-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 S 925 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175704",
            "telephone_number": "801-815-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANOVIC",
        "first_name": "MILA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "117165-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.