Organization Active NPI

Optimum Health and Spinal Care

Doing business as Mountain Valley Injury & Rehab

  • Chiropractor
  • Draper, UT
National Provider Identifier
1477785889
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7413155-1202 Issued in UT
Legal business name
OPTIMUM HEALTH AND SPINAL CARE
Doing business as
Mountain Valley Injury & Rehab
Practice address
392 E 12300 S Ste C
Draper, UT 84020-8043
Phone
(801) 849-1029
Fax
(801) 890-0513
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Dr. John K Olsen, D.C.
Title
Chiropractic Physician
Phone
(801) 256-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7413155-1202 UT Primary

Addresses

Primary practice location

392 E 12300 S Ste C
Draper, UT 84020-8043

Mailing address

392 E 12300 S Ste C
Draper, UT 84020-8043
Phone (801) 849-1029

Other names 1

  • Mountain Valley Injury & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

2195 W 5400 S
Ste 105
Taylorsville, UT 84129
Phone (801) 601-1239

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1477785889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 E 12300 S STE C",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208043",
            "telephone_number": "801-849-1029",
            "fax_number": "801-890-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 E 12300 S STE C",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208043",
            "telephone_number": "801-849-1029",
            "fax_number": "801-890-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH AND SPINAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "801-256-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7413155-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Valley Injury & Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Valley Injury & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.