NPIMap

Organization Active NPI

Central Utah Physical Therapy Services Inc

  • Physical Therapist
  • Richfield, UT
National Provider Identifier
1356470009
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6234806-2401 Issued in UT
Legal business name
CENTRAL UTAH PHYSICAL THERAPY SERVICES INC
Practice address
20 W 925 N
Richfield, UT 84701-5500
Phone
(435) 896-6653
Fax
(435) 896-6662
NPI assigned
Mar 5, 2007
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Jeffery L Thalman, P.T.NPI 1336182054
Title
Owner
Phone
(435) 896-6653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6234806-2401 UT Primary

Addresses

Primary practice location

20 W 925 N
Richfield, UT 84701-5500

Mailing address

20 W 925 N
Richfield, UT 84701-5500
Phone (435) 896-6653

Other identifiers 1

IdentifierTypeStateIssuer
000055197OtherUTMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050714000646 UT Part B Supplier - Clinic/Group Practice 9032145693 Receives reassigned benefits from 2 practitioners
Practice locations: Richfield, UT

National Provider Directory

National Provider Directory
Tax ID family
Central Utah Phys Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

20 W Westview Dr
Richfield, UT 84701
Phone (435) 896-6653

80 E 1000 N Ste a
Richfield, UT 84701

80 E 1000 N Ste a
Ste a
Richfield, UT 84701
Phone (435) 896-6653

Practitioners & affiliated clinicians

Practitioners 8

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1356470009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 925 N",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847015500",
            "telephone_number": "435-896-6653",
            "fax_number": "435-896-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 925 N",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847015500",
            "telephone_number": "435-896-6653",
            "fax_number": "435-896-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL UTAH PHYSICAL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "THALMAN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-896-6653",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6234806-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000055197",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.