Active NPI
Physiofit RX PLLC
- Physical Therapist
- Salt Lake City, UT
National Provider Identifier
1528650538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PHYSIOFIT RX PLLC
- Practice address
- 2091 E 1300 S Ste 203
Salt Lake City, UT 84108-2239 - Phone
- (801) 923-8836
- NPI assigned
- Feb 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Caisse, DPT
- Title
- Owner
- Phone
- (858) 952-4277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2091 E 1300 S Ste 203
Salt Lake City, UT 84108-2239
Mailing address
2552 E 1700 S
Salt Lake City, UT 84108-2704
National Provider Directory
National Provider DirectoryLocations
2091 E 1300 S
Ste 203
Salt Lake City, UT 84108
Phone (801) 923-8836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612915200000",
"number": "1528650538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2552 E 1700 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841082704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2091 E 1300 S STE 203",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841082239",
"telephone_number": "801-923-8836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIOFIT RX PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A",
"authorized_official_last_name": "CAISSE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-952-4277",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"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 Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.