NPIMap

Organization Active NPI

South Mountain PT & Rehabilitation

  • Physical Therapy Clinic/Center
  • Midvale, UT
National Provider Identifier
1477705010
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
323505-2401 Issued in UT
Legal business name
SOUTH MOUNTAIN PT & REHABILITATION
Practice address
6770 South 900 East
Suite 100
Midvale, UT 84047-1753
Phone
(801) 523-8242
Fax
(801) 523-8242
NPI assigned
Oct 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
James D. Harrison, PT
Title
Owner
Phone
(801) 523-6376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 323505-2401 UT Primary

Addresses

Primary practice location

6770 South 900 East
Suite 100
Midvale, UT 84047-1753

Mailing address

6770 South 900 East
Suite 100
Midvale, UT 84047-1753
Phone (801) 523-8242

Other names 1

  • South Mountain Physical Therapy and Rehabilitation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1477705010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 SOUTH 900 EAST",
            "address_2": "SUITE 100",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471753",
            "telephone_number": "801-523-8242",
            "fax_number": "801-523-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 SOUTH 900 EAST",
            "address_2": "SUITE 100",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471753",
            "telephone_number": "801-523-8242",
            "fax_number": "801-523-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MOUNTAIN PT & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-523-6376",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "323505-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Mountain Physical Therapy and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.