Precision Physical Therapy Inc,.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2710952401 Issued in UT

Legal business name

PRECISION PHYSICAL THERAPY INC,.

Practice address

3098 S Highland Dr Ste 350F
Salt Lake City, UT 84106-3085

Phone

(801) 557-6733

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jane Glaser-Gormally, PT

Title

Physical Therapy Practice Owner PT

Phone

(801) 557-6733

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jane Glaser-Gormally Other name

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1316902307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3098 S HIGHLAND DR STE 350F",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063085",
            "telephone_number": "801-557-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 S HIGHLAND DR STE 350F",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063085",
            "telephone_number": "801-557-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PHYSICAL THERAPY INC,.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "GLASER-GORMALLY",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PHYSICAL THERAPY PRACTICE OWNER PT",
        "authorized_official_telephone_number": "801-557-6733",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "2710952401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505985917001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "000057378",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jane Glaser-Gormally",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.