Southern Utah Physical Therapy & Rehabilitation P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

132676 Issued in UT

Legal business name

SOUTHERN UTAH PHYSICAL THERAPY & REHABILITATION P.C.

Practice address

1335 Northfield Rd
Suite 300
Cedar City, UT 84720-9390

Phone

(435) 865-1902

Fax

(435) 586-5176

NPI assigned

Jan 10, 2007

Last updated

Dec 11, 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. Randy J Forsyth, P.TNPI 1598704983

Title

Owner

Phone

(435) 865-1902

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Southern Utah Physical Therapy & Rehabilitation P.C.

  • Physical Therapist
  • Cedar City, UT
  • NPI 1164571758

  3779485347

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southern Utah Physical Therapy & Rehabilitation P.C.

  • Physical Therapist
  • Cedar City, UT
  • NPI 1164571758

  O20040123000474

  Same enrollment

Tax ID family

Southern Ut PT Rehab PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Utah Physical Therapy & Rehabilitation

  • Physical Therapist
  • Cedar City, UT
  • NPI 1134457823
  NPD tax ID

Locations

Practitioners 3

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.

• Randy Joe Forsyth, P.T.

  • Physical Therapist
  • Cedar City, UT
  • NPI 1598704983
  NPD Authorized official
• Benjamin M Bahr

  • Physical Therapist
  • Cedar City, UT
  • NPI 1437726908
  NPD
• Kregg Tyler Lunt, MSPT

  • Physical Therapist
  • Cedar City, UT
  • NPI 1790711190
  NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1447309182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 NORTHFIELD RD",
            "address_2": "SUITE 300",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847209390",
            "telephone_number": "435-865-1902",
            "fax_number": "435-586-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 NORTHFIELD RD",
            "address_2": "SUITE 300",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847209390",
            "telephone_number": "435-865-1902",
            "fax_number": "435-586-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN UTAH PHYSICAL THERAPY & REHABILITATION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "FORSYTH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-865-1902",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "132676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.