Active NPI
Cordon Rabe
- Physical Therapist
- Bountiful, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12844413-2401
- Practice address
- 280 N Main St
Bountiful, UT 84010-6136 - Phone
- (801) 397-6749
- NPI assigned
- May 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12844413-2401 | UT | Primary |
Addresses
Primary practice location
280 N Main St
Bountiful, UT 84010-6136
Mailing address
PO Box 25537
Salt Lake City, UT 84125-0537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
280 N Main St
Bountiful, UT 84010-6136
Phone (801) 397-6740
5373 S Green St
Suite 400
Murray, UT 84123-4740
Phone (801) 442-2615
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12844413-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Physical Therapist | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
280 N Main St
N Salt Lake, UT 84010
Phone (801) 270-4400
900 Round Valley Dr
Ste 1
Park City, UT 84060
5373 S Green St
Ste 400
Salt Lake City, UT 84123
Phone (801) 442-2615
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
2000 S 900 E
Slc, UT 84105
Phone (801) 446-7786
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Intermountain Physical Therapy and Rehabilitation
- Rehabilitation Clinic/Center
- Salt Lake City, UT
- NPI 1033822085
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Intermountain Thoracic,Lung, and Esophageal Surgery
- Surgery Physician
- Murray, UT
- NPI 1013412568
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1225775240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25537",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N MAIN ST",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840106136",
"telephone_number": "801-397-6749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABE",
"first_name": "CORDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-20",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "12844413-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.