NPIMap

Organization Active NPI

Utah Spinal Rehabilitaion, PLLC

  • Clinic/Center
  • Cottonwood Heights, UT
National Provider Identifier
1417192436
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UTAH SPINAL REHABILITAION, PLLC
Practice address
1225 Fort Union Blvd
Suite 120
Cottonwood Heights, UT 84047-1889
Phone
(801) 563-1116
Fax
(801) 563-1117
NPI assigned
Dec 4, 2008
Last updated
Dec 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dr. Kevin McDougal, D.C.
Title
Owner
Phone
(801) 563-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1225 Fort Union Blvd
Suite 120
Cottonwood Heights, UT 84047-1889

Mailing address

1225 Fort Union Blvd
Suite 120
Cottonwood Heights, UT 84047-1889
Phone (801) 563-1116

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1417192436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 FORT UNION BLVD",
            "address_2": "SUITE 120",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471889",
            "telephone_number": "801-563-1116",
            "fax_number": "801-563-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FORT UNION BLVD",
            "address_2": "SUITE 120",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471889",
            "telephone_number": "801-563-1116",
            "fax_number": "801-563-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH SPINAL REHABILITAION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-563-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.