NPIMap

Organization Active NPI

Prorehab Physical Therapy

  • Physical Therapist
  • Price, UT
National Provider Identifier
1437175403
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4932238-2401 Issued in UT
Legal business name
PROREHAB PHYSICAL THERAPY
Practice address
590 E 100 N
Suite 1
Price, UT 84501-2640
Phone
(435) 613-1500
Fax
(435) 613-1501
NPI assigned
Jul 14, 2006
Last updated
May 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Jeffrey N Ohlwiler, MPTNPI 1669464939
Title
Owner
Phone
(435) 613-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 4932238-2401 UT Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 352637-2401 UT
Durable Medical Equipment & Medical Supplies 332B00000X 4932238-2401 UT

Addresses

Primary practice location

590 E 100 N
Suite 1
Price, UT 84501-2640

Mailing address

PO Box 933
Price, UT 84501-0933
Phone (435) 613-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040601000305 UT Part B Supplier - Clinic/Group Practice 5193706539 Receives reassigned benefits from 7 practitioners
Practice locations: Castle Dale, UT; East Carbon, UT; Green River, UT; Price, UT
O20100930007728 UT DME Supplier - Independently-Practicing Physical Therapist 5193706539 Practice locations: Price, UT

National Provider Directory

National Provider Directory

Locations

16 E 200 S
Unit D
Monticello, UT 84535
Phone (435) 587-1092

223 N Westwood Blvd
Price, UT 84501

223 N Westwood Blvd
Price, UT 84501
Phone (435) 613-1500

377 N Fairgrounds Rd
Ste 4
Price, UT 84501
Phone (435) 613-1500

590 E 100 N
Ste 1
Price, UT 84501
Phone (435) 613-1500

590 E 100 N
Ste 12
Price, UT 84501

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1437175403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845010933",
            "telephone_number": "435-613-1500",
            "fax_number": "435-613-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 E 100 N",
            "address_2": "SUITE 1",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012640",
            "telephone_number": "435-613-1500",
            "fax_number": "435-613-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROREHAB PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "OHLWILER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-613-1500",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "4932238-2401",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "352637-2401",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "4932238-2401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.