NPIMap

Organization Active NPI

Physical Therapy Express

  • Physical Therapy Clinic/Center
  • Holladay, UT
National Provider Identifier
1780007153
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
78106132402 Issued in UT
Legal business name
PHYSICAL THERAPY EXPRESS
Practice address
2225 E Murray Holladay Rd
Suite 108
Holladay, UT 84117-5382
Phone
(801) 272-1522
NPI assigned
Jan 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Steven Phaklides, PTA
Title
Owner
Phone
(801) 272-1522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 78106132402 UT Primary

Addresses

Primary practice location

2225 E Murray Holladay Rd
Suite 108
Holladay, UT 84117-5382

Mailing address

2225 E Murray Holladay Rd
Suite 108
Holladay, UT 84117-5382
Phone (801) 272-1522

National Provider Directory

National Provider Directory

Locations

2225 E Murray Holladay Rd
Ste 108
Salt Lake City, UT 84117
Phone (801) 272-1522

Practitioners & affiliated clinicians

Practitioners 1

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": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1780007153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E MURRAY HOLLADAY RD",
            "address_2": "SUITE 108",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175382",
            "telephone_number": "801-272-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E MURRAY HOLLADAY RD",
            "address_2": "SUITE 108",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175382",
            "telephone_number": "801-272-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY EXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "PHAKLIDES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-272-1522",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "78106132402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.