Abbie Vance

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2950 N Church St Ste 102
Layton, UT 84040-6590

Phone

(801) 547-9462

NPI assigned

Nov 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reborn Pelvic Health and WellnessGroup PAC ID 0941738272, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Reborn Pelvic Health & Wellness

  • Physical Therapy Clinic/Center
  • Murray, UT
  • NPI 1740884907

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Mountain Land Rehabilitation LLC

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1265549372
  NPD

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1235849241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 WILLOW CIR",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840143449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 N CHURCH ST STE 102",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840406590",
            "telephone_number": "801-547-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "ABBIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abbie.vance@mlpt.com",
            "affiliation": "Y",
            "endpointDescription": "Work email address",
            "affiliationName": "Mountain Land Rehabilitation LLC",
            "address_1": "2950 N Church St Ste 102",
            "city": "Layton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840406590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Van Leeuwen, M.D.
• Calene Van Noy, RDN, CD
• Elise Nicole Van Tassell, LMT
• Terry Russell Van Wormer, PA-C
• Aimee Celine Vancampen
• Rebecca M Vance, APRN
• Macey D Vancleave, RN
• Kyalee Jade Vandam, PA
• Julie Lynn Vandenberghe, CMHC
• Henry Vandenhazel

• Physical Therapist in Layton, UT
• Providers in Layton, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.

Verify at the official NPI Registry.