Organization Active NPI

Root and Restore Therapy

  • Physical Therapy Clinic/Center
  • Millcreek, UT
National Provider Identifier
1770053068
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROOT AND RESTORE THERAPY
Practice address
4444 S 700 E Ste 102
Millcreek, UT 84107-3075
Phone
(801) 449-0699
NPI assigned
Nov 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Bonnijane Monson, DPT
Title
Owner
Phone
(801) 809-2099

Specialties & licenses 1

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

Addresses

Primary practice location

4444 S 700 E Ste 102
Millcreek, UT 84107-3075

Mailing address

3969 S Olympic Way
Salt Lake City, UT 84124-2127
Phone (801) 809-2099

National Provider Directory

National Provider Directory

Locations

4444 S 700 E
Ste 102
Millcreek, UT 84107
Phone (636) 432-8771

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1770053068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3969 S OLYMPIC WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242127",
            "telephone_number": "801-809-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 S 700 E STE 102",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841073075",
            "telephone_number": "801-449-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT AND RESTORE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "MONSON",
        "authorized_official_first_name": "BONNIJANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-809-2099",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millcreek, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.