Summit Spinal Rehabilitation and Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1392960 Issued in UT

Legal business name

SUMMIT SPINAL REHABILITATION AND PHYSICAL THERAPY, PC

Practice address

3197 S Redwood Rd Ste 11
West Valley City, UT 84119-3201

Phone

(801) 972-9300

Fax

(801) 973-7222

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Kris I. Davis, D.C.NPI 1588692362

Title

Chiropractor, Owner

Phone

(801) 475-1800

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kris Ivan Davis, D.C.

  • Chiropractor
  • Mesa, AZ
  • NPI 1588692362
  NPD (past) Authorized official
• Christopher Greg Packard, M.P.T.

  • Physical Therapist
  • Layton, UT
  • NPI 1396860649
  NPD (past)
• Todd Harold Schmidt, PT

  • Physical Therapist
  • South Jordan, UT
  • NPI 1003907502
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245440312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3197 S REDWOOD RD STE 11",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193201",
            "telephone_number": "801-972-9300",
            "fax_number": "801-973-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3197 S REDWOOD RD STE 11",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193201",
            "telephone_number": "801-972-9300",
            "fax_number": "801-973-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SPINAL REHABILITATION AND PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "CHIROPRACTOR, OWNER",
        "authorized_official_telephone_number": "801-475-1800",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "1392960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Suarez, PHARMD
• Dajhana Lesly Sudbury
• Payton Sugden
• Shelbie Suggs, FNP
• Rachel E Sullivan, RPSGT, CNA
• Lori R Swenson, MD
• Synergy Chiropractic PLLC (Headache Relief Chiopractic and Massage)
• Sarah Ann Szymczyk, PA-C
• Tiffany Taggart
• Mona Ahmed Taha II

• Physical Therapist in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.