Isabeau Aurelia Robison

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

220 Millpond Ste 109
Stansbury Park, UT 84074-9760

Phone

(435) 882-4144

NPI assigned

Mar 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Isabeau Aurelia Van Soolen Former name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Mountain Land Rehabilitation LLC

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1265549372
  Medicare reassignment Care Compare group NPD
• Pinnacle-Mountain Land Therapy LC

  • Occupational Therapist
  • Stansbury, UT
  • NPI 1043227770

  Physical Therapist

  NPD (past)
• Registered Physical Therapists LLC

  • Physical Therapy Clinic/Center
  • Sandy, UT
  • NPI 1477582633
  NPD (past)

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1427752922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 S BUENA VERDE LN",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840442755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MILLPOND STE 109",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840749760",
            "telephone_number": "435-882-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "ISABEAU",
        "middle_name": "AURELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABEAU",
            "last_name": "VAN SOOLEN",
            "middle_name": "AURELIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla A Oaks, M.ED., CCC-SLP
• Robert Pagnani
• William McMichael Payne II, PHARM.D.
• Hanthao Thi Phan, DDS
• Rylee Colleen Prokopis, DNP
• Belle Rowan-Ferris, APRN, FNP-C
• Hilary S. Seibert, DO
• Linda Rose Shober, DPT
• Stansbury Dental and Implant Center PDC PLLC
• Stansbury Park Dental Care

• Physical Therapist in Stansbury Park, UT
• Providers in Stansbury Park, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.