NPIMap

Organization Active NPI

Rocky Mountain Therapy Services

  • Physical Therapist
  • West Valley City, UT
National Provider Identifier
1306864863
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ROCKY MOUNTAIN THERAPY SERVICES
Practice address
3540 S 4000 W Ste 340
West Valley City, UT 84120-3287
Phone
(801) 417-5017
Fax
(801) 417-5016
NPI assigned
Jul 17, 2006
Last updated
Jun 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Ty Berrett
Title
Coo
Phone
(801) 243-2406

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X UT Primary
Occupational Therapist 225X00000X 313389-2401 UT

Addresses

Primary practice location

3540 S 4000 W Ste 340
West Valley City, UT 84120-3287

Mailing address

PO Box 540640
North Salt Lake, UT 84054-0640
Phone (801) 987-8700

Other practice location 1

3497 W 3500 S
West Valley City, UT 84119-2537
Phone (801) 417-5017

Other practice location 2

3540 S 4000 W Ste 250
West Valley City, UT 84120-3297
Phone (801) 417-5017

Other identifiers 1

IdentifierTypeStateIssuer
1306864863MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050629000878 UT Part B Supplier - Clinic/Group Practice 4486690559 Receives reassigned benefits from 7 practitioners
Practice locations: West Valley City, UT
O20130126000002 UT DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 4486690559 Practice locations: West Valley City, UT

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mountain Therapy Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

1990 W 7800 S
West Jordan, UT 84088
Phone (801) 256-0009

3336 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3865

3540 S 4000 W
Ste 250
West Valley City, UT 84120
Phone (801) 417-5017

Practitioners & affiliated clinicians

Practitioners 9

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1306864863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540640",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840540640",
            "telephone_number": "801-987-8700",
            "fax_number": "801-987-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S 4000 W STE 340",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841203287",
            "telephone_number": "801-417-5017",
            "fax_number": "801-417-5016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3497 W 3500 S",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "841192537",
            "country_code": "US",
            "telephone_number": "801-417-5017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3540 S 4000 W Ste 250",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "841203297",
            "country_code": "US",
            "telephone_number": "801-417-5017",
            "fax_number": "801-417-5016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "BERRETT",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-243-2406"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "313389-2401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306864863",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.