NPIMap

Organization Active NPI

Spinal Rehab Specialists

  • Chiropractor
  • Orem, UT
National Provider Identifier
1295729473
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2640381202 Issued in UT
Legal business name
SPINAL REHAB SPECIALISTS
Practice address
1704 S State St
Orem, UT 84097-8011
Phone
(801) 221-2999
Fax
(801) 224-3235
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Margaret Adamson
Title
Insurance Billing Specialist
Phone
(801) 292-2146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2640381202 UT Primary

Addresses

Primary practice location

1704 S State St
Orem, UT 84097-8011

Mailing address

1704 S State St
Orem, UT 84097-8011
Phone (801) 221-2999

Other identifiers 4

IdentifierTypeStateIssuer
32346OtherUTPEHP
159151OtherUTDMBA
107000867101OtherUTIHC
5241711600001OtherUTBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

1704 S State St
Orem, UT 84097
Phone (385) 497-5590

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295729473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840978011",
            "telephone_number": "801-221-2999",
            "fax_number": "801-224-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840978011",
            "telephone_number": "801-221-2999",
            "fax_number": "801-224-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL REHAB SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMSON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "INSURANCE BILLING SPECIALIST",
        "authorized_official_telephone_number": "801-292-2146",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "2640381202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "32346",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "159151",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107000867101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "5241711600001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • 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.