MLMS Salt Lake Clinic LC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MLMS SALT LAKE CLINIC LC

Doing business as

Mountain Land Rehabilitation

Practice address

1153 E 3900 S
Salt Lake City, UT 84124

Phone

(801) 262-6331

Fax

(801) 262-3372

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Anderson, PT

Title

President

Phone

(801) 942-3311

Specialties & licenses 2

Addresses

Other names 1

• Mountain Land Rehabilitation Doing business as

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1669589784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711185",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84171",
            "telephone_number": "801-942-3311",
            "fax_number": "801-942-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-262-6331",
            "fax_number": "801-262-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLMS SALT LAKE CLINIC LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-942-3311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Land Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisa D Miyashiro
• Isabella Lara Mizels, CPNP-PC
• Joshua E. Mizels, MD
• MLMS Downtown Clinic LC
• MLMS Murray Clinic LC
• MMTC
• Mobile Medical Group PC
• Kevin Scott Mochizuki, PH.D. D.ABNM
• Lance Mochizuki
• Chelsea Mock

• Occupational Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Occupational Therapist in Utah

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