Active NPI
Rehab Specialists, LLC
- Durable Medical Equipment & Medical Supplies
- Midvale, UT
National Provider Identifier
1861689614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930058637 | UT | DME Supplier - Medical Supply Company | 9032315668 | Practice locations: Midvale, UT |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rehab Specialists LLC | Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.