Individual provider Active NPI

Robert Pagnani

  • Physical Therapist
  • Stansbury Park, UT
National Provider Identifier
1790977692
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6186311-2401 Issued in UT
Practice address
6727 N Highway 36 Ste 300
Stansbury Park, UT 84074-9525
Phone
(435) 553-4969
Fax
(435) 554-0515
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6186311-2401 UT Primary

Addresses

Primary practice location

6727 N Highway 36 Ste 300
Stansbury Park, UT 84074-9525

Mailing address

6727 N Highway 36
Suite 300
Stansbury Park, UT 84074-8174
Phone (435) 553-4969

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150917000472 UT Practitioner - Physical Therapist in Private Practice 5496761959 Reassigns benefits to 1 organization
Practice locations: Stansbury Park, UT

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Utah School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pagnani Physical TherapyGroup PAC ID 9537433388, 8 clinicians

Practice addresses (Care Compare)

2321 N 400
Suite 400
Tooele, UT 84074-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6186311-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pagnani Physical Therapy Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients
Brandon Jackson, P T Physical Therapist PastSince Jun 15, 2002 Accepting new patients
Brandon Jackson PT Past Accepting new patients
Tooele Clinic Corp PastSince Oct 30, 2014 Accepting new patients

Locations

6727 N Highway 36
Ste 300
Stansbury Park, UT 84074
Phone (435) 553-4969

210 Lodestone Way
Tooele, UT 84074
Phone (435) 592-0906

2321 N 400 E
Ste 400
Tooele, UT 84074
Phone (435) 553-4969

576 E Highway 138
Ste 400
Tooele, UT 84074
Phone (435) 833-9070

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1790977692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 N HIGHWAY 36",
            "address_2": "SUITE 300",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840748174",
            "telephone_number": "435-553-4969",
            "fax_number": "435-554-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 N HIGHWAY 36 STE 300",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840749525",
            "telephone_number": "435-553-4969",
            "fax_number": "435-554-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGNANI",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6186311-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stansbury Park, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.