Organization Active NPI

First Med East Physical Therapy LLC

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1386662823
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
110326-2401 Issued in UT
Legal business name
FIRST MED EAST PHYSICAL THERAPY LLC
Practice address
1950 Fort Union Blvd
Salt Lake City, UT 84121-6894
Phone
(801) 943-1041
Fax
(801) 943-3461
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Paul G Wortley, PT
Title
President
Phone
(801) 417-5017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 110326-2401 UT Primary

Addresses

Primary practice location

1950 Fort Union Blvd
Salt Lake City, UT 84121-6894

Mailing address

PO Box 702128
Salt Lake City, UT 84170-2128
Phone (801) 708-7867

National Provider Directory

National Provider Directory

Locations

1950 E 7000 S
Fl 2
Salt Lake Cty, UT 84121
Phone (801) 943-3300

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1386662823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841702128",
            "telephone_number": "801-708-7867",
            "fax_number": "801-677-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 FORT UNION BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216894",
            "telephone_number": "801-943-1041",
            "fax_number": "801-943-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MED EAST PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "WORTLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-417-5017",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "110326-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.