Organization Active NPI

Harbor Amputation Rehabilitation & Adaptive Training

  • Physical Therapy Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1477315232
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HARBOR AMPUTATION REHABILITATION & ADAPTIVE TRAINING
Practice address
515 S 700 E Ste 2F
Salt Lake City, UT 84102-2886
Phone
(801) 828-8105
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Dr. Clair Helenek, PT, DPTNPI 1528635620
Title
Owner
Phone
(801) 828-8105

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Amputee Clinic/Center 261QA0900X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

515 S 700 E Ste 2F
Salt Lake City, UT 84102-2886

Mailing address

515 S 700 E Ste 2F
Salt Lake City, UT 84102-2886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240507003040 UT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507207628 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

515 S 700 E
Ste 2F
Salt Lake City, UT 84102
Phone (801) 828-8105

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1477315232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S 700 E STE 2F",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S 700 E STE 2F",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022886",
            "telephone_number": "801-828-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR AMPUTATION REHABILITATION & ADAPTIVE TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "HELENEK",
        "authorized_official_first_name": "CLAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-828-8105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QA0900X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Amputee",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.