Active NPI
Hand & Orthopedic Rehabilitation Specialists
- Specialist
- Draper, UT
National Provider Identifier
1891093167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- HAND & ORTHOPEDIC REHABILITATION SPECIALISTS
- Practice address
- 11762 S State St
#120
Draper, UT 84020-7155 - Phone
- (801) 501-8359
- Fax
- (801) 501-8360
- NPI assigned
- Mar 10, 2011
- 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
- Courtney Liszka
- Title
- Cco
- Phone
- (801) 942-3311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
11762 S State St
#120
Draper, UT 84020-7155
Mailing address
PO Box 711185
Salt Lake City, UT 84171-1185
Phone (801) 942-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040401000861 | UT | Part B Supplier - Clinic/Group Practice | 0547252207 |
Receives reassigned benefits from 30 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bountiful, UT; Draper, UT; Salt Lake City, UT; Taylorsville, UT; West Jordan, UT |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapist
- Bountiful, UT
- NPI 1437487360
O20040401000861
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1790815173
O20040401000861
-
dba Hand & Orthopedic Physical Therapy Specialists
- Physical Therapist
- Murray, UT
- NPI 1811024144
O20040401000861
-
dba Hand and Orthopedic Physical Therapy Specialists
- Physical Therapist
- West Jordan, UT
- NPI 1811872245
O20040401000861
-
- Physical Therapist
- Taylorsville, UT
- NPI 1891495321
O20040401000861
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Bountiful, UT
- NPI 1417523895
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1154322816
-
- Occupational Therapist
- Salt Lake City, UT
- NPI 1528243953
-
- Physical Medicine & Rehabilitation Physician
- Salt Lake City, UT
- NPI 1518600089
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1124291570
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1508590944
-
- Physical Therapist
- Murray, UT
- NPI 1063205938
-
- Physical Therapist
- San Marcos, TX
- NPI 1619674280
-
- Orthopedic Physical Therapist
- Murray, UT
- NPI 1023791688
-
- Occupational Therapist
- Salt Lake City, UT
- NPI 1861188856
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1427033109
-
- Physical Therapist
- Draper, UT
- NPI 1255908984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1891093167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711185",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841711185",
"telephone_number": "801-942-3311",
"fax_number": "801-495-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11762 S STATE ST",
"address_2": "#120",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207155",
"telephone_number": "801-501-8359",
"fax_number": "801-501-8360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAND & ORTHOPEDIC REHABILITATION SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-10",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "LISZKA",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "CCO",
"authorized_official_telephone_number": "801-942-3311"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.