Canyon Rim Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1449C Issued in UT

Legal business name

CANYON RIM PHYSICAL THERAPY LLC

Practice address

6360 S 3000 E
Suite 125
Salt Lake City, UT 84121-6923

Phone

(801) 947-8449

NPI assigned

Aug 30, 2006

Last updated

Mar 27, 2013By 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

Stephen Shupe, M.S., P.T., O.C.S.

Title

Owner/Physical Therapist

Phone

(801) 947-8449

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1467562694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E",
            "address_2": "SUITE 125",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E",
            "address_2": "SUITE 125",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216923",
            "telephone_number": "801-947-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON RIM PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "SHUPE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-947-8449",
        "authorized_official_credential": "M.S., P.T., O.C.S."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "1449C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Vise Cantrell, MS, CCC-SLP
• Juan Antonio Cantres Velez
• Vlanca Michelle Cantu, PA STUDENT
• Canyon Medical Solutions
• Canyon Rim Physical Therapy LLC
• Canyonlands Natural Medicine
• Portia Christine Cao
• Justus Lee Capel, LCSW
• Emily Diana Capito, LCSW
• John Caplette, CRNA

• Physical Therapy Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapy Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.