Organization Active NPI

Western Summit Rehabilitation LLC

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1699009696
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WESTERN SUMMIT REHABILITATION LLC
Practice address
2155 E Panorama Way
Salt Lake City, UT 84124-2816
Phone
(801) 716-2289
Fax
(801) 716-2290
NPI assigned
Sep 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. William Clayton Watson, PT
Title
Owner
Phone
(801) 673-2910

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X UT Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X UT
Durable Medical Equipment & Medical Supplies 332B00000X 2012-HHA-91251 UT

Addresses

Primary practice location

2155 E Panorama Way
Salt Lake City, UT 84124-2816

Mailing address

2155 E Panorama Way
Salt Lake City, UT 84124-2816
Phone (801) 716-2289

National Provider Directory

National Provider Directory

Locations

3257 E 3300 S
Salt Lake City, UT 84109
Phone (801) 716-2289

6302 S Gold Medal Dr
Taylorsville, UT 84129
Phone (801) 327-8400

Practitioners & affiliated clinicians

Practitioners 5

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": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699009696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 E PANORAMA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242816",
            "telephone_number": "801-716-2289",
            "fax_number": "801-716-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 E PANORAMA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242816",
            "telephone_number": "801-716-2289",
            "fax_number": "801-716-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SUMMIT REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-673-2910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "2012-HHA-91251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.