Organization Active NPI

Utah Mobile Physical Therapy, LLC

  • Physical Therapist
  • Pleasant Grove, UT
National Provider Identifier
1205562071
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UTAH MOBILE PHYSICAL THERAPY, LLC
Practice address
841 W 1100 N
Pleasant Grove, UT 84062-9647
Phone
(801) 318-8869
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Marlo Dawe
Title
Ceo
Phone
(801) 318-8869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

841 W 1100 N
Pleasant Grove, UT 84062-9647

Mailing address

841 W 1100 N
Pleasant Grove, UT 84062-9647
Phone (801) 318-8869

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1205562071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 W 1100 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840629647",
            "telephone_number": "801-318-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 W 1100 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840629647",
            "telephone_number": "801-318-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH MOBILE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "DAWE",
        "authorized_official_first_name": "MARLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-318-8869"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 25, 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.