Utah Outpatient Pulmonary Rehab, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

84318600160 Issued in UT

Legal business name

UTAH OUTPATIENT PULMONARY REHAB, LLC

Doing business as

Jordan Valley Pulmonary Rehab

Practice address

8785 S Jordan Valley Way
Ste 2
West Jordan, UT 84088-9772

Phone

(801) 890-7779

Fax

(801) 821-4556

NPI assigned

Oct 5, 2012

Last updated

Apr 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett Thompson, P.T.

Title

Administrator

Phone

(801) 706-2964

Specialties & licenses 4

Addresses

Other names 1

• Jordan Valley Pulmonary Rehab Doing business as

Locations

Practitioners 1

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.

• Megan C Hanrahan

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1982728598
  NPD (past)

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1538411293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8785 S JORDAN VALLEY WAY",
            "address_2": "SUITE 2",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889772",
            "telephone_number": "801-890-7779",
            "fax_number": "801-821-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8785 S JORDAN VALLEY WAY",
            "address_2": "STE 2",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889772",
            "telephone_number": "801-890-7779",
            "fax_number": "801-821-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH OUTPATIENT PULMONARY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-706-2964",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "UT",
            "license": "84318600160",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Valley Pulmonary Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.