Organization Active NPI

Wellness Chiropractic & Rehabilitation Clinic

  • Rehabilitation Chiropractor
  • South Jordan, UT
National Provider Identifier
1861795205
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
5791354-1202 Issued in UT
Legal business name
WELLNESS CHIROPRACTIC & REHABILITATION CLINIC
Practice address
10969 River Front Pkwy # 108
South Jordan, UT 84095-3538
Phone
(435) 862-0152
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Dr. Joshua Redd, D.C.NPI 1063713329
Title
Chiropractor
Phone
(435) 862-0152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 5791354-1202 UT Primary

Addresses

Primary practice location

10969 River Front Pkwy # 108
South Jordan, UT 84095-3538

Mailing address

8942 Cottage Canyon Dr
Cedar Hills, UT 84062-8781
Phone (435) 862-0152

National Provider Directory

National Provider Directory

Locations

10969 S River Front Pkwy
#108
South Jordan, UT 84095
Phone (435) 862-0152

Practitioners & affiliated clinicians

Practitioners 1

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": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1861795205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8942 COTTAGE CANYON DR",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840628781",
            "telephone_number": "435-862-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10969 RIVER FRONT PKWY # 108",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953538",
            "telephone_number": "435-862-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CHIROPRACTIC & REHABILITATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "REDD",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "435-862-0152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "UT",
            "license": "5791354-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.