NPIMap

Organization Active NPI

Beaver Valley Hospital

Doing business as Heritage Park Healthcare Therapy

  • Physical Therapy Clinic/Center
  • Roy, UT
National Provider Identifier
1235645300
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BEAVER VALLEY HOSPITAL
Doing business as
Heritage Park Healthcare Therapy
Practice address
2700 W 5600 S
Roy, UT 84067-1372
Phone
(801) 825-9731
Fax
(801) 776-2018
NPI assigned
Dec 27, 2017
Last updated
May 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Soon Burnam
Title
Delegated Official
Phone
(949) 540-1249

Specialties & licenses 1

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

Addresses

Primary practice location

2700 W 5600 S
Roy, UT 84067-1372

Mailing address

2700 W 5600 S
Roy, UT 84067-1372
Phone (801) 825-9731

Other names 1

  • Heritage Park Healthcare Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parowan Medical Clinic82 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1235645300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W 5600 S",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840671372",
            "telephone_number": "801-825-9731",
            "fax_number": "801-776-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 5600 S",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840671372",
            "telephone_number": "801-825-9731",
            "fax_number": "801-776-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Park Healthcare Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.