Organization Active NPI

Westwood Physical Therapy Clinic

  • Physical Therapist
  • Taylorsville, UT
National Provider Identifier
1851324826
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
W97642R6213 Issued in UT
Legal business name
WESTWOOD PHYSICAL THERAPY CLINIC
Practice address
5547 So 4015 W
#7
Taylorsville, UT 84129-4429
Phone
(801) 967-6055
Fax
(801) 967-6934
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Mr. Frederick L Hobusch, PT
Title
Pres Co-Owner Physical Therapist
Phone
(801) 967-6055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X W97642R6213 UT Primary

Addresses

Primary practice location

5547 So 4015 W
#7
Taylorsville, UT 84129-4429

Mailing address

5547 S 4015 W
#7
Taylorsville, UT 84129-4437
Phone (801) 967-6055

Other identifiers 3

IdentifierTypeStateIssuer
QM0000076206OtherUTALTIUS
190100500OtherUTOWCR
999000139002MedicaidUT

National Provider Directory

National Provider Directory

Locations

5547 S 4015 W
Ste 7
Taylorsville, UT 84129
Phone (801) 967-6055

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1851324826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5547 S 4015 W",
            "address_2": "#7",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841294437",
            "telephone_number": "801-967-6055",
            "fax_number": "801-967-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5547 SO 4015 W",
            "address_2": "#7",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841294429",
            "telephone_number": "801-967-6055",
            "fax_number": "801-967-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTWOOD PHYSICAL THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "HOBUSCH",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES CO-OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-967-6055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "W97642R6213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000076206",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCR",
            "identifier": "190100500",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999000139002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.