Active NPI
Vanessa Renee Feinauer, MPT
- Physical Therapist
- Bountiful, UT
National Provider Identifier
1831261841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 56393922401
- Practice address
- 401 South 400 East
C O Mountainland Rehab
Bountiful, UT 84010 - Phone
- (801) 397-8151
- Fax
- (801) 397-8051
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 56393922401 | UT | Primary |
Addresses
Primary practice location
401 South 400 East
C O Mountainland Rehab
Bountiful, UT 84010
Mailing address
401 South 400 East
C O Mountainland Rehab
Bountiful, UT 84010
Phone (801) 397-8125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D6242 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56393922401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831261841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 SOUTH 400 EAST",
"address_2": "C O MOUNTAINLAND REHAB",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "84010",
"telephone_number": "801-397-8125",
"fax_number": "801-397-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SOUTH 400 EAST",
"address_2": "C O MOUNTAINLAND REHAB",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "84010",
"telephone_number": "801-397-8151",
"fax_number": "801-397-8051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEINAUER",
"first_name": "VANESSA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "56393922401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D6242",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.