Wasatch Physical Therapy & Rehabilitation, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WASATCH PHYSICAL THERAPY & REHABILITATION, INC

Practice address

3920 S 1100 E Ste 115
Millcreek, UT 84124

Phone

(801) 713-0610

Fax

(801) 713-0613

NPI assigned

Jan 22, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Aaron C Hall, MPTNPI 1942294616

Title

President

Phone

(801) 713-0610

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Wasatch Physical Therapy & Rehabilitation, Inc

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1598096083

  O20100603000762

  Same enrollment

Tax ID family

Wasatch Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wasatch Physical Therapy and Rehabilitation, Inc

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1184902801
  NPD tax ID

Locations

Practitioners 4

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

• Aaron C. Hall, MPT

  • Physical Therapist
  • Millcreek, UT
  • NPI 1942294616
  Medicare reassignment Care Compare group NPD Authorized official
• Lawrence L. Baer, MPT

  • Physical Therapist
  • Millcreek, UT
  • NPI 1346234010
  Medicare reassignment Care Compare group NPD
• John Bradford Lewis, DPT

  • Physical Therapist
  • Price, UT
  • NPI 1194913491
  NPD (past)
• Tammy Kathryne Park, MD

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1043246036
  NPD (past)

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1801127345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 S 1100 E STE 115",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841241273",
            "telephone_number": "801-713-0610",
            "fax_number": "801-713-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 S 1100 E STE 115",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-713-0610",
            "fax_number": "801-713-0613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 S WOODROW STREET",
            "address_2": "#204",
            "address_purpose": "LOCATION",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075852",
            "country_code": "US",
            "telephone_number": "801-713-0610",
            "fax_number": "801-713-0613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WASATCH PHYSICAL THERAPY & REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-713-0610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Vierig, LMFT
• Danielle Marie Vigil, LCSW
• Willow Marie Virchow, RBT
• Mikayla Waibel, RBT
• Dezerae Ski Walker
• Weekend Dental - Utah LLC
• Well Life Counseling
• Verdi Ray White II, LMT
• Jeffery Dale Whiten Jr., RBT
• Kathy Wickersham

• Physical Therapist in Millcreek, UT
• Providers in Millcreek, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.