Red Rock Healthcare, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

RED ROCK HEALTHCARE, INC.

Doing business as

Lake Powell Physical Therapy

Practice address

43 6TH Ave
Page, AZ 86040

Phone

(928) 645-5780

NPI assigned

May 27, 2016

Last updated

Jun 9, 2025By 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

Amber L Tueller

Title

Secretary

Phone

(208) 207-2726

Specialties & licenses 1

Addresses

Other names 1

• Lake Powell Physical Therapy Doing business as

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1548618804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3304",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860403304",
            "telephone_number": "928-645-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 6TH AVE",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "86040",
            "telephone_number": "928-645-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Powell Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Powell Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernadette Marie Pierson, OT
• Lorrie M Pierson
• Prescott Vamc
• Sandra Pulham
• Heather Rapoza
• Kae Rehma
• Ryan James Robinson, DMD
• Rodrigo Moura Rodrigues-Brito, PHARMD
• Scott D. Sadler, P.A.-C
• Safeway Inc (Safeway Pharmacy #0249)

• Rehabilitation Clinic/Center in Page, AZ
• Providers in Page, AZ by specialty
• Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.