Redwood Injury Treatment Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

7376354-2401 Issued in UT

Legal business name

REDWOOD INJURY TREATMENT CENTER

Practice address

6321 S Redwood Rd
Suite 105
Taylorsville, UT 84123-6798

Phone

(801) 904-3089

Fax

(801) 904-3435

NPI assigned

Mar 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Daniel Erekson, DPTNPI 1407187867

Title

Physical Therapist/Clinic Director

Phone

(801) 904-3089

Specialties & licenses 1

Addresses

Other names 1

• Redwood Physical Therapy Former legal business name

Locations

Practitioners 1

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

• Jacob D Erekson, DPT

  • Physical Therapy Clinic/Center
  • Taylorsville, UT
  • NPI 1407187867
  NPD (past) Authorized official

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1215398615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 S REDWOOD RD",
            "address_2": "SUITE 105",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236798",
            "telephone_number": "801-904-3089",
            "fax_number": "801-904-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 S REDWOOD RD",
            "address_2": "SUITE 105",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236798",
            "telephone_number": "801-904-3089",
            "fax_number": "801-904-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD INJURY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "EREKSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "801-904-3089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "7376354-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Becky Rathke
• Emily Ray
• Bobbi Jean Reasch
• Monique Rebaza
• Matthew Reddin
• Redwood Injury Treatment Center Inc.
• Redwood Orthodontics
• Redwood Pediatric Dentistry
• Kaycee Reed
• Kelton Reed

• Physical Therapy Clinic/Center in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Physical Therapy Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.