NPIMap

Organization Active NPI

Beaver Valley Hospital

Doing business as Copper Ridge Health Care Therapy

  • Physical Therapy Clinic/Center
  • West Jordan, UT
National Provider Identifier
1629584792
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BEAVER VALLEY HOSPITAL
Doing business as
Copper Ridge Health Care Therapy
Practice address
3706 W 9000 S
West Jordan, UT 84088-8813
Phone
(801) 280-2273
Fax
(801) 280-2285
NPI assigned
Dec 27, 2017
Last updated
May 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Soon Burnam
Title
Delegated Official
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3706 W 9000 S
West Jordan, UT 84088-8813

Mailing address

3706 W 9000 S
West Jordan, UT 84088-8813
Phone (801) 280-2273

Other names 1

  • Copper Ridge Health Care Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emergency Physicians82 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1629584792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888813",
            "telephone_number": "801-280-2273",
            "fax_number": "801-280-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888813",
            "telephone_number": "801-280-2273",
            "fax_number": "801-280-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Ridge Health Care Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.