Matt J London, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6246 S Redwood Rd
Bennion Care Center
SLC, UT 84123

Phone

(801) 969-1420

Fax

(801) 955-2540

NPI assigned

Nov 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cancer Rehabilitation Centers

  • Physical Therapy Clinic/Center
  • Sandy, UT
  • NPI 1508128604

  Physical Therapist

  NPD
• Navitas New Mexico LLC

  • Rehabilitation Clinic/Center
  • Albuquerque, NM
  • NPI 1962537761
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386719003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5997 S 200 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-573-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6246 S REDWOOD RD",
            "address_2": "BENNION CARE CENTER",
            "city": "SLC",
            "state": "UT",
            "postal_code": "84123",
            "telephone_number": "801-969-1420",
            "fax_number": "801-955-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "MATT",
        "middle_name": "J",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3244",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika C Lloyd, M.D.
• Stephen W Lloyd, APRN
• David Hugh Lodzins, MS CCCA
• Jacob Loftus, RBT
• Isabella Lonardo
• Manelle Tayor Long-James
• Eileen Shaw Lopes, APRN
• David Lopez
• Deja M Lopez, RN
• Felicia Lopez

• Physical Therapist in SLC, UT
• Providers in SLC, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.