Organization Active NPI

Prevail Stroke and Neuro Rehab, LLC

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1295502029
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PREVAIL STROKE AND NEURO REHAB, LLC
Practice address
1910 E 3060 S
Salt Lake City, UT 84106-3932
Phone
(801) 860-3237
NPI assigned
Dec 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Jonathan Herbert Kinzinger, DPTNPI 1194873596
Title
Physical Therapist
Phone
(801) 860-3237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Cardiopulmonary Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251C2600X
Neurology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251N0400X

Addresses

Primary practice location

1910 E 3060 S
Salt Lake City, UT 84106-3932

Mailing address

1910 E 3060 S
Salt Lake City, UT 84106-3932
Phone (801) 860-3237

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1295502029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E 3060 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063932",
            "telephone_number": "801-860-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E 3060 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063932",
            "telephone_number": "801-860-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAIL STROKE AND NEURO REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "KINZINGER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-860-3237",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 12, 2023; 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.