Sanpete Valley Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4931765-2401 Issued in UT

Legal business name

SANPETE VALLEY PHYSICAL THERAPY LLC

Practice address

112 N Main St
Ephraim, UT 84627-1104

Phone

(435) 283-5662

Fax

(435) 283-5666

NPI assigned

Aug 8, 2007

Last updated

Aug 8, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent M Rasmussen, P.T.NPI 1023166386

Title

Owner

Phone

(435) 283-5662

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• BRENT M RASMUSSEN Other name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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.

• Brent M. Rasmussen, PT, DPT

  • Orthopedic Physical Therapist
  • Ephraim, UT
  • NPI 1023166386
  Medicare reassignment NPD Authorized official
• Rhodri L Purcell, PT, MPT, OCS, CSCS

  • Orthopedic Physical Therapist
  • Ephraim, UT
  • NPI 1417916784
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1265623805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "846271104",
            "telephone_number": "435-283-5662",
            "fax_number": "435-283-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "846271104",
            "telephone_number": "435-283-5662",
            "fax_number": "435-283-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANPETE VALLEY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-283-5662",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "4931765-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERMOUNTAIN HEALTHCARE",
            "identifier": "107043750101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC EMPLOYEES HEALTH P",
            "identifier": "93822",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023166386",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRENT M RASMUSSEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacob Michael Robison, O.D.
• Heidi K Rodriguez, LCSW
• Rooted to Bloom Healing
• Kimberli C. Russell, RPH
• Sanpete Community Training
• Welby Scott, LPC
• Skyline Anesthesia
• Skyline Sports and Human Performance LLC
• Brenden Smith
• Kaitlyn Rose Abernethy Smith, ATC

• Physical Therapist in Ephraim, UT
• Providers in Ephraim, 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 8, 2007; 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.