Livewell Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

290437-2401 Issued in UT

Legal business name

LIVEWELL PHYSICAL THERAPY

Practice address

5976 Fairview Dr
Park City, UT 84098-6160

Phone

(435) 901-3579

Fax

(435) 608-6566

NPI assigned

Apr 3, 2009

Last updated

May 11, 2018By 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

Janet Myshrall, P.T.NPI 1487769089

Title

Owner

Phone

(435) 901-3579

Specialties & licenses 1

Addresses

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.

• Janet Myshrall, P.T.

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1487769089
  Authorized official Same address or phone

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1619119732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5976 FAIRVIEW DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986160",
            "telephone_number": "435-901-3579",
            "fax_number": "435-658-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5976 FAIRVIEW DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986160",
            "telephone_number": "435-901-3579",
            "fax_number": "435-608-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "MYSHRALL",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-901-3579",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "290437-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Romney Lifferth, D.M.D.
• Charles C Lind, MD
• Patricia Ann Lindsay, PHD
• Lynn P Little, R.N.
• Livecare, Inc.
• Lauren Aline Loberg, PHD, LCMHC
• Leslie Anne Lords, PHARM.D.
• Stacy Anne Lowe, PT
• Luna Sleep Center LLC
• Chad A Lundstrom, D.C.

• Physical Therapist in Park City, UT
• Providers in Park City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.