RLC Physical Therapy & Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

831143802401 Issued in UT

Legal business name

RLC PHYSICAL THERAPY & REHAB, LLC

Practice address

990 Medical Dr
Ste U-4
Brigham City, UT 84302-4713

Phone

(435) 723-6487

Fax

(435) 723-6490

NPI assigned

Jun 29, 2010

Organization subpart

No

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

Authorized official

Name

Roger L Colvin, PT

Title

Owner

Phone

(435) 723-6487

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clark Johnson

  • Physical Therapist
  • Logan, UT
  • NPI 1407124910
  Medicare reassignment NPD
• Kyle Benjamin Staheli, DPT

  • Physical Therapist
  • Roy, UT
  • NPI 1982336434
  Medicare reassignment NPD
• Kyle Haines, PT

  • Physical Therapist
  • Brigham City, UT
  • NPI 1568141885
  NPD

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1801107495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150173",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150173",
            "telephone_number": "801-479-0601",
            "fax_number": "801-479-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MEDICAL DR",
            "address_2": "STE U-4",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024713",
            "telephone_number": "435-723-6487",
            "fax_number": "435-723-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLC PHYSICAL THERAPY & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-723-6487",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "831143802401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Rigby, LCSW
• Stephan Riojas
• Riley Riser
• Jacob Von Ritchie
• Rite of Passage, Inc
• Bethany Robbins, NP
• Kaelyn Robbins
• Anna Roberts
• Erin Roberts, FNP
• Rick Robertson

• Physical Therapist in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.