Active NPI
Westwood Physical Therapy Clinic
- Physical Therapist
- Taylorsville, UT
National Provider Identifier
1851324826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- W97642R6213
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QM0000076206 | Other | UT | ALTIUS |
| 190100500 | Other | UT | OWCR |
| 999000139002 | Medicaid | UT |
National Provider Directory
National Provider DirectoryLocations
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.