Organization Active NPI

Trent Poulson Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Cedar City, UT
National Provider Identifier
1356161970
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TRENT POULSON PHYSICAL THERAPY PLLC
Practice address
2774 W 220 N
Cedar City, UT 84720-1310
Phone
(801) 369-5619
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Trenton N Poulson, DPTNPI 1184286619
Title
Managing Member/Owner
Phone
(801) 369-5619

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2774 W 220 N
Cedar City, UT 84720-1310

Mailing address

2774 W 220 N
Cedar City, UT 84720-1310
Phone (801) 369-5619

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": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1356161970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 W 220 N",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201310",
            "telephone_number": "801-369-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2774 W 220 N",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201310",
            "telephone_number": "801-369-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENT POULSON PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "POULSON",
        "authorized_official_first_name": "TRENTON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "801-369-5619",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.