Moterum Specialty Services LLC

Primary specialty

Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P0301X

Legal business name

MOTERUM SPECIALTY SERVICES LLC

Practice address

2757 S 300 W
South Salt Lake, UT 84115-2933

Phone

(678) 592-3447

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

David Huizenga

Title

Manager

Phone

(678) 592-3447

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Holzbach Dubose, DPT

  • Physical Therapist
  • Greenville, SC
  • NPI 1508195256
  NPD

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1467022863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 S 300 W",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841152933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 S 300 W",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841152933",
            "telephone_number": "678-592-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTERUM SPECIALTY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "HUIZENGA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-592-3447"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indraneel Mogarala, M.D.
• William Charles Moore, LCSW
• Pamela Lynne Morgan, MS-CCC-SLP
• Paige Morisak, AUD
• Donald Robert Morris, M.D.
• Jeffrey Jay Moulton
• Kadyn Janae Munk
• Jimena Murillo, CPSS
• Nathan Green O.D. P.C.
• Brian Neilson

• Physical Medicine & Rehabilitation Physician in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.