Personal Injury Center MD LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PERSONAL INJURY CENTER MD LLC

Practice address

1226 W South Jordan Pkwy
Suite B
South Jordan, UT 84095-6023

Phone

(801) 432-7914

Fax

(801) 994-1393

NPI assigned

Dec 15, 2014

Organization subpart

No

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

Authorized official

Name

Maria Elena Abarca

Title

Manager/Owner

Phone

(202) 505-2007

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1306244819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 E DRAPER PKWY",
            "address_2": "404",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209356",
            "telephone_number": "202-505-2007",
            "fax_number": "801-994-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 W SOUTH JORDAN PKWY",
            "address_2": "SUITE B",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840956023",
            "telephone_number": "801-432-7914",
            "fax_number": "801-994-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL INJURY CENTER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "ABARCA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "202-505-2007"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Peck, DPT
• Kathryn A Penderghast, CBD
• Shawn M Pendleton, PA-C
• Brittany Permenter, ACMHC
• Tyler Perry, PA-C, ATC
• Charli Danielle Peters, A.P.R. N
• Petersen Dental LLC
• Sarah Connors Petersen, MD
• Brad Niel Peterson, D.C.
• Catherine Peterson

• Multi-Specialty Clinic/Center in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Multi-Specialty Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.