NPIMap

Organization Active NPI

Rock Run Physical Therapy and Rehab Specialists,LLC

  • Physical Therapist
  • Roy, UT
National Provider Identifier
1629012240
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ROCK RUN PHYSICAL THERAPY AND REHAB SPECIALISTS,LLC
Practice address
5991 S 3500 W Ste 300
Roy, UT 84067-6702
Phone
(801) 985-2700
Fax
(801) 985-2707
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Brandon M Hepner, MPTNPI 1245211572
Title
Owner
Phone
(801) 985-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5991 S 3500 W Ste 300
Roy, UT 84067-6702

Mailing address

5991 S 3500 W Ste 300
Roy, UT 84067-6702
Phone (801) 985-2700

Other practice location 1

780 S 2000 W Ste 104
Syracuse, UT 84075-9602
Phone (801) 896-9200

Other practice location 2

1730 E 3100 N Ste 1
Layton, UT 84040-2408
Phone (385) 515-4810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061204000528 UT Part B Supplier - Clinic/Group Practice 4183623044 Receives reassigned benefits from 7 practitioners
Practice locations: Syracuse, UT; Roy, UT; Layton, UT

National Provider Directory

National Provider Directory

Locations

1730 E 3100 N
Ste 1
Layton, UT 84040
Phone (385) 515-4810

5991 S 3500 W
Ste 300
Roy, UT 84067
Phone (801) 985-2700

780 S 2000 W
Ste A104
Syracuse, UT 84075
Phone (801) 896-9200

780 S 2000 W
Ste 104
Syracuse, UT 84075
Phone (801) 896-9200

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1629012240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5991 S 3500 W STE 300",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840676702",
            "telephone_number": "801-985-2700",
            "fax_number": "801-985-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5991 S 3500 W STE 300",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840676702",
            "telephone_number": "801-985-2700",
            "fax_number": "801-985-2707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 S 2000 W Ste 104",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "UT",
            "postal_code": "840759602",
            "country_code": "US",
            "telephone_number": "801-896-9200",
            "fax_number": "801-896-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1730 E 3100 N Ste 1",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840402408",
            "country_code": "US",
            "telephone_number": "385-515-4810",
            "fax_number": "385-515-4809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCK RUN PHYSICAL THERAPY AND REHAB SPECIALISTS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "HEPNER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-985-2700",
        "authorized_official_credential": "MPT"
    },
    "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 Roy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.