Organization Active NPI

Rehab Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Midvale, UT
National Provider Identifier
1861689614
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REHAB SPECIALISTS, LLC
Practice address
6995 S 400 W
Midvale, UT 84047-1012
Phone
(801) 654-1774
Fax
(801) 280-3933
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Mr. Gregory Travis Bennett
Title
President
Phone
(801) 282-3697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6995 S 400 W
Midvale, UT 84047-1012

Mailing address

6995 S 400 W
Midvale, UT 84047-1012
Phone (801) 654-1774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930058637 UT DME Supplier - Medical Supply Company 9032315668 Practice locations: Midvale, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rehab Specialists LLC6995 S 400 W, Midvale, UT 84047-1012(801) 282-3697 Orthoses: Off-The-Shelf Accepts assignmentParticipating since Feb 14, 2008

National Provider Directory

National Provider Directory

Locations

6995 S 400 W
Midvale, UT 84047
Phone (801) 282-3697

8145 S Redwood Rd
#A
West Jordan, UT 84088
Phone (801) 282-3697

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1861689614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6995 S 400 W",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471012",
            "telephone_number": "801-654-1774",
            "fax_number": "801-280-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6995 S 400 W",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471012",
            "telephone_number": "801-654-1774",
            "fax_number": "801-280-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-282-3697",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.