Organization Active NPI

Stepup Physical Therapy

  • Physical Therapist
  • Murray, UT
National Provider Identifier
1831654656
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STEPUP PHYSICAL THERAPY
Practice address
746 E Winchester St Ste G10
Murray, UT 84107-8532
Phone
(801) 981-5977
Fax
(801) 839-9170
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Mindy Reano
Title
Office Manager
Phone
(801) 792-9189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

746 E Winchester St Ste G10
Murray, UT 84107-8532

Mailing address

746 E Winchester St Ste G10
Murray, UT 84107-8532
Phone (801) 981-5977

Other practice location 1

8789 S Redwood Road
West Jordan, UT 84088
Phone (801) 792-9190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190924002884 UT Part B Supplier - Clinic/Group Practice 1254661820 Receives reassigned benefits from 1 practitioner
Practice locations: Murray, UT

National Provider Directory

National Provider Directory

Locations

8789 S Redwood Rd
West Jordan, UT 84088
Phone (801) 792-9190

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1831654656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 E WINCHESTER ST STE G10",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078532",
            "telephone_number": "801-981-5977",
            "fax_number": "801-839-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 E WINCHESTER ST STE G10",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078532",
            "telephone_number": "801-981-5977",
            "fax_number": "801-839-9170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8789 S Redwood Road",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "84088",
            "country_code": "US",
            "telephone_number": "801-792-9190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPUP PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2024-02-22",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "REANO",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-792-9189"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.