NPIMap

Organization Active NPI

Pagnani Physical Therapy

  • Physical Therapist
  • Tooele, UT
National Provider Identifier
1871976183
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PAGNANI PHYSICAL THERAPY
Practice address
2321 N 400 E Ste 400
Tooele, UT 84074-3440
Phone
(435) 833-9070
NPI assigned
Jul 6, 2015
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Robert Pagnani, DPTNPI 1790977692
Title
Owner
Phone
(435) 833-9070

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
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2321 N 400 E Ste 400
Tooele, UT 84074-3440

Mailing address

2321 N 400 E Ste 400
Tooele, UT 84074-3440
Phone (435) 833-9070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170919000186 UT Part B Supplier - Clinic/Group Practice 9537433388 Receives reassigned benefits from 9 practitioners
Practice locations: Tooele, UT; Stansbury Park, UT

National Provider Directory

National Provider Directory

Locations

6727 N Highway 36
Ste 300
Stansbury Park, UT 84074
Phone (435) 553-4969

210 Lodestone Way
Tooele, UT 84074
Phone (435) 592-0906

2321 N 400 E
Ste 400
Tooele, UT 84074
Phone (435) 553-4969

576 E Highway 138
Ste 400
Tooele, UT 84074
Phone (435) 833-9070

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1871976183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 N 400 E STE 400",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743440",
            "telephone_number": "435-833-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 N 400 E STE 400",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743440",
            "telephone_number": "435-833-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGNANI PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "PAGNANI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-833-9070",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.