Active NPI
Western Summit Rehabilitation LLC
- Physical Therapist
- Salt Lake City, UT
National Provider Identifier
1699009696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | UT | Primary | |
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Occupational Therapist
- Salt Lake City, UT
- NPI 1700035847
-
- Speech-Language Pathologist
- Taylorsville, UT
- NPI 1851607048
-
- Physical Therapist
- Heber City, UT
- NPI 1043226905
-
- Physical Therapist
- Eagle, ID
- NPI 1326055617
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.