Cancer Rehabilitation Centers
Organization Active NPI Physical Therapy Clinic/Center · Sandy, UT
NPI 1508128604 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1508128604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- CANCER REHABILITATION CENTERS
- Practice address
- 7390 S Creek Rd Ste 104
Sandy, UT 84093-6121 - Phone
- (801) 456-9898
- Fax
- (801) 456-9899
- NPI assigned
- Jun 13, 2012
- Organization subpart
- No
Authorized official
- Name
- Catherine Ann Standiford
- Title
- Owner
- Phone
- (801) 456-9898
Practitioners 2
-
Molly K Williams, DPT
-
Matt J London, MPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120820001172 | UT | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9830346279 |
Receives reassigned benefits from 1 practitioner Practice locations: Sandy, UT |
National Provider Directory
Locations
7390 S Creek Rd
Ste 104
Sandy, UT 84093
Phone (435) 650-4737
11333 S 1000 E
Ste 101B
Sandy, UT 84094
Phone (801) 456-9898
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
7390 S Creek Rd Ste 104
Sandy, UT 84093-6121
Mailing address
7390 S Creek Rd Ste 104
Sandy, UT 84093-6121
Phone (801) 456-9898
Other providers in Sandy, UT
- Sara Callister
- Calm Mind, Inc.
- Calming Mind Counseling PLLC
- Jadyn Campbell
- Kimberly Brooke Campbell
- Lorena Cannon
- Richard B Cannon
- Canyon Lakes Health Care Inc
- Canyon View Dental
- Canyons Medical Center PC
All providers in Sandy, UT · Physical Therapy Clinic/Center in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.