Intensive Physical Therapy Institute, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2775252401 Issued in UT

Legal business name

INTENSIVE PHYSICAL THERAPY INSTITUTE, LLC

Practice address

4568 S Highland Dr Ste 180
Salt Lake City, UT 84117-4236

Phone

(801) 251-0257

Fax

(801) 251-0259

NPI assigned

Jun 14, 2012

Organization subpart

No

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

Authorized official

Name

Muriel Joan Lee, PHYSICAL THERAPIST

Title

Managing Member

Phone

(801) 251-0257

Specialties & licenses 1

Addresses

Other names 1

• Neuro Pathways Physical Therapy Other name

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1659633691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4568 S HIGHLAND DR STE 180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174236",
            "telephone_number": "801-251-0257",
            "fax_number": "801-251-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 S HIGHLAND DR STE 180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174236",
            "telephone_number": "801-251-0257",
            "fax_number": "801-251-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE PHYSICAL THERAPY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MURIEL",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-251-0257",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "2775252401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Pathways Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapy Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapy Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.