Organization Active NPI

Excel Rehab Therapy LLC

  • Physical Therapist
  • Draper, UT
National Provider Identifier
1477877744
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
341753-2401 Issued in UT
Legal business name
EXCEL REHAB THERAPY LLC
Practice address
11631 S 700 E
Draper, UT 84020-8288
Phone
(801) 865-2194
Fax
(877) 822-8366
NPI assigned
Mar 16, 2010
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Randy Aragon, PTA
Title
Owner
Phone
(801) 865-2194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 341753-2401 UT Primary

Addresses

Primary practice location

11631 S 700 E
Draper, UT 84020-8288

Mailing address

10291 S 1300 E # 196
Sandy, UT 84094-4078
Phone (801) 865-2194

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110623000617 UT Part B Supplier - Clinic/Group Practice 5597945741 Receives reassigned benefits from 3 practitioners
Practice locations: Draper, UT

National Provider Directory

National Provider Directory

Locations

8142 S State St
Ste 103
Midvale, UT 84047
Phone (801) 708-9226

10291 S 1300 E
Sandy, UT 84094
Phone (801) 557-2821

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1477877744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10291 S 1300 E # 196",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944078",
            "telephone_number": "801-865-2194",
            "fax_number": "877-822-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11631 S 700 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208288",
            "telephone_number": "801-865-2194",
            "fax_number": "877-822-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL REHAB THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "ARAGON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-865-2194",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "341753-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 14, 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.