NPIMap

Organization Active NPI

Wasatch Physical Therapy and Rehabilation Center

  • Specialist
  • Salt Lake City, UT
National Provider Identifier
1427217405
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3298742401 Issued in UT
Legal business name
WASATCH PHYSICAL THERAPY AND REHABILATION CENTER
Practice address
5323 Woodrow St Ste 204
Salt Lake City, UT 84107-5852
Phone
(801) 713-0610
Fax
(801) 713-0613
NPI assigned
Jun 5, 2008
Last updated
Aug 6, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
UTAH BONE & JOINT CENTER LCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Susan Petersen
Title
Office Manager
Phone
(801) 713-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3298742401 UT Primary

Addresses

Primary practice location

5323 Woodrow St Ste 204
Salt Lake City, UT 84107-5852

Mailing address

5323 Woodrow St Ste 204
Salt Lake City, UT 84107-5852
Phone (801) 713-0610

National Provider Directory

National Provider Directory
Part of
Utah Bone Joint Center

Locations

5323 S Woodrow St
Ste 204
Salt Lake Cty, UT 84107
Phone (801) 713-0610

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1427217405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 WOODROW ST STE 204",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075852",
            "telephone_number": "801-713-0610",
            "fax_number": "801-713-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 WOODROW ST STE 204",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075852",
            "telephone_number": "801-713-0610",
            "fax_number": "801-713-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH PHYSICAL THERAPY AND REHABILATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UTAH BONE & JOINT CENTER  LC",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-713-0606"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "3298742401",
            "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 Aug 6, 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.