Organization Active NPI

South Valley Orthomed, PLLC

  • Orthopaedic Surgery Physician
  • Pleasant Grove, UT
National Provider Identifier
1205506847
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SOUTH VALLEY ORTHOMED, PLLC
Practice address
1988 W 930 N Ste C
Pleasant Grove, UT 84062-4132
Phone
(801) 566-4242
Fax
(801) 987-3493
NPI assigned
Sep 15, 2021
Last updated
Sep 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Heather Strong
Title
Practice Administrator
Phone
(801) 566-4242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

1988 W 930 N Ste C
Pleasant Grove, UT 84062-4132

Mailing address

1988 W 930 N Ste C
Pleasant Grove, UT 84062-4132
Phone (801) 566-4242

Other identifiers 1

IdentifierTypeStateIssuer
U000098391OtherUTMEDICARE

Other names 1

  • South Valley Orthopedics & Aesthetics Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1205506847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 W 930 N STE C",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624132",
            "telephone_number": "801-566-4242",
            "fax_number": "801-987-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1988 W 930 N STE C",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624132",
            "telephone_number": "801-566-4242",
            "fax_number": "801-987-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY ORTHOMED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "801-566-4242"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "U000098391",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Valley Orthopedics & Aesthetics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.