Physical Therapy and Sports

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY AND SPORTS

Practice address

6360 S 3000 E
Suite 210
Salt Lake City, UT 84121-6923

Phone

(801) 869-1975

Fax

(801) 869-1973

NPI assigned

Jun 4, 2012

Organization subpart

No

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

Authorized official

Name

Amy C Delap, PT,DPT

Title

Director of Physical Therapy

Phone

(801) 869-1973

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1831450113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E",
            "address_2": "SUITE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216923",
            "telephone_number": "801-869-1975",
            "fax_number": "801-869-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E",
            "address_2": "SUITE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216923",
            "telephone_number": "801-869-1975",
            "fax_number": "801-869-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND SPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "DELAP",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "801-869-1973",
        "authorized_official_credential": "PT,DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Rising
• Phoenix Rising Treatment, LLC.
• Kanlayanee Phothiworn
• Tenzin Kunsang Phunrab, APRN
• Physical Medicine and Rehabilitation Utah PLLC
• Physician Home Care of Utah,L.C.
• Physician House Calls, Inc.
• Physician Management Services of Utah II, LLC
• Physician Specialty Care of Utah
• Physician Wound Care Specialists of Utah

• Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake 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 Aug 12, 2015; 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.