South Valley Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

120450-2401 Issued in UT

Legal business name

SOUTH VALLEY PHYSICAL THERAPY INC.

Practice address

867 S 500 W
Payson, UT 84651-3201

Phone

(801) 465-7979

Fax

(801) 465-7980

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Lynn George Adams, P.T.NPI 1265463012

Title

President

Phone

(801) 465-7979

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn George Adams, P.T.

  • Physical Therapist
  • Payson, UT
  • NPI 1265463012
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1902020472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 S 500 W",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846513201",
            "telephone_number": "801-465-7979",
            "fax_number": "801-465-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 S 500 W",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846513201",
            "telephone_number": "801-465-7979",
            "fax_number": "801-465-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-465-7979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "120450-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528047782009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smiths Food & Drug Centers Inc
• Marilyn Sorensen, FNP
• Jacob Dylan Sorenson
• South County Psychiatric Clinic Inc
• South Payson Medical Clinic
• Southwestern Obstetrics & Gynecology P C
• SRS-Payson, LLC
• Ashley Bophany Steadman, CRNA
• Steps Recovery Center
• Steps Recovery Center Daytreatment

• Physical Therapist in Payson, UT
• Providers in Payson, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.