NPIMap

Organization Active NPI

Mnkrehab

  • Physical Medicine & Rehabilitation Physician
  • Richfield, UT
National Provider Identifier
1760181697
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MNKREHAB
Practice address
948 W Sawgrass Rd
Richfield, UT 84701-1237
Phone
(801) 712-8253
NPI assigned
Feb 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Melissa Kirk, MD
Title
Physiatrist
Phone
(801) 712-8253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

948 W Sawgrass Rd
Richfield, UT 84701-1237

Mailing address

948 W Sawgrass Rd
Richfield, UT 84701-1237
Phone (801) 712-8253

Other names 1

  • Mnkrehab Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1760181697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 W SAWGRASS RD",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011237",
            "telephone_number": "801-712-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 W SAWGRASS RD",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011237",
            "telephone_number": "801-712-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNKREHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PHYSIATRIST",
        "authorized_official_telephone_number": "801-712-8253",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mnkrehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.