NPIMap

Organization Active NPI

Reborn Pelvic Health & Wellness

  • Physical Therapy Clinic/Center
  • Murray, UT
National Provider Identifier
1740884907
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REBORN PELVIC HEALTH & WELLNESS
Practice address
6040 S Fashion Blvd Ste 101
Murray, UT 84107-5416
Phone
(801) 702-8475
NPI assigned
Nov 27, 2020
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Elizabeth DelassNPI 1285981167
Title
Owner/Ceo
Phone
(801) 702-8475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6040 S Fashion Blvd Ste 101
Murray, UT 84107-5416

Mailing address

6040 S Fashion Blvd Ste 101
Murray, UT 84107-5416
Phone (801) 702-8475

Other practice location 1

310 N 850 E Ste D
Lehi, UT 84043-8623
Phone (801) 702-8476

Other practice location 2

1660 W Antelope Dr Ste 225A
Layton, UT 84041-1167
Phone (801) 702-8477

Other practice location 3

1806 N 1120 W
Provo, UT 84604-1179
Phone (801) 702-8475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250114001442 UT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941738272 Receives reassigned benefits from 24 practitioners
Practice locations: Provo, UT; Murray, UT; Lehi, UT; Layton, UT

National Provider Directory

National Provider Directory

Locations

1660 W Antelope Dr
Ste 225A
Layton, UT 84041
Phone (801) 702-8475

310 N 850 E
Ste D
Lehi, UT 84043
Phone (801) 216-3117

1815 N 1120 W
Provo, UT 84604
Phone (801) 702-8475

6040 S Fashion Blvd
Ste 101
Salt Lake City, UT 84107
Phone (801) 264-9595

7611 S Jordan Landing Blvd
#130
West Jordan, UT 84084
Phone (801) 216-3117

7611 S Jordan Landing Blvd
Ste 130
West Jordan, UT 84084
Phone (801) 216-3117

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1740884907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 S FASHION BLVD STE 101",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075416",
            "telephone_number": "801-702-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 S FASHION BLVD STE 101",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075416",
            "telephone_number": "801-702-8475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 N 850 E Ste D",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840438623",
            "country_code": "US",
            "telephone_number": "801-702-8476",
            "fax_number": "801-477-8818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1660 W Antelope Dr Ste 225A",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840411167",
            "country_code": "US",
            "telephone_number": "801-702-8477",
            "fax_number": "801-477-8818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1806 N 1120 W",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846041179",
            "country_code": "US",
            "telephone_number": "801-702-8475",
            "fax_number": "801-477-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REBORN PELVIC HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-27",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "DELASS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "801-702-8475"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.