NPIMap

Organization Active NPI

Pinnacle Performance II, Inc

  • Physical Therapy Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1235330135
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
20050584 Issued in UT
Legal business name
PINNACLE PERFORMANCE II, INC
Practice address
1515 S 1100 E
Salt Lake City, UT 84105-2424
Phone
(801) 583-5692
Fax
(801) 582-2074
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Megan Dixon
Title
Clinic Manager
Phone
(801) 583-5692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 20050584 UT Primary

Addresses

Primary practice location

1515 S 1100 E
Salt Lake City, UT 84105-2424

Mailing address

1515 S 1100 E
Salt Lake City, UT 84105-2424
Phone (801) 583-5692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121112000678 UT Part B Supplier - Clinic/Group Practice 5698926087 Receives reassigned benefits from 5 practitioners
Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

1515 S 1100 E
Salt Lake City, UT 84105
Phone (801) 582-5692

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1235330135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052424",
            "telephone_number": "801-583-5692",
            "fax_number": "801-582-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052424",
            "telephone_number": "801-583-5692",
            "fax_number": "801-582-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PERFORMANCE II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "801-583-5692"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "20050584",
            "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 Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.