Aspenwood Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

109490-2401 Issued in UT

Legal business name

ASPENWOOD PHYSICAL THERAPY INC

Practice address

3086 Eugene Hill Way
Taylorsville, UT 84118-2290

Phone

(801) 560-1488

Fax

(801) 967-1670

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wesley P Walker, PHYSICAL THERAPIST

Title

President/Ceo

Phone

(801) 560-1488

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1386830685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3086 EUGENE HILL WAY",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841182290",
            "telephone_number": "801-560-1488",
            "fax_number": "801-967-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3086 EUGENE HILL WAY",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841182290",
            "telephone_number": "801-560-1488",
            "fax_number": "801-967-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPENWOOD PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "801-560-1488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "109490-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Taylorsville, UT
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.