Active NPI
Rehab Medical of Salt Lake, LLC
- Durable Medical Equipment & Medical Supplies
- Salt Lake City, UT
National Provider Identifier
1912936865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- REHAB MEDICAL OF SALT LAKE, LLC
- Practice address
- 4750 W Wiley Post Way Ste 110
Salt Lake City, UT 84116-2807 - Phone
- (801) 904-3627
- NPI assigned
- Jul 2, 2006
- 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. Patrick McGinley
- Title
- President
- Phone
- (317) 813-0205
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 000214 | UT |
Addresses
Primary practice location
4750 W Wiley Post Way Ste 110
Salt Lake City, UT 84116-2807
Mailing address
3750 Priority Way South Dr
Indianapolis, IN 46240-3831
Phone (317) 436-6178
Other practice location 1
3690 S 500 W
Suite 104
Salt Lake City, UT 84115
Phone (801) 713-4187
Other names 2
- First Choice Medical Supply, Inc.
- Rehab Medical of Salt Lake, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930074031 | UT | DME Supplier - Medical Supply Company | 3678777984 | Practice locations: South Salt Lake, 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 Medical of Salt Lake, LLC | Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standar… | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- South Salt Lake, UT
- NPI 1053379172
Member Of
Locations
4750 W Wiley Post Way
Ste 110
Salt Lake City, UT 84116
3690 S 500 W
Ste 104
South Salt Lake, UT 84115
Phone (801) 713-4187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782259200000",
"number": "1912936865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 PRIORITY WAY SOUTH DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462403831",
"telephone_number": "317-436-6178",
"fax_number": "855-671-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 W WILEY POST WAY STE 110",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841162807",
"telephone_number": "801-904-3627"
}
],
"practiceLocations": [
{
"address_1": "3690 S 500 W",
"address_2": "Suite 104",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "84115",
"country_code": "US",
"telephone_number": "801-713-4187",
"fax_number": "801-713-0517",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REHAB MEDICAL OF SALT LAKE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A",
"authorized_official_last_name": "MCGINLEY",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-813-0205",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "UT",
"license": "000214",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "First Choice Medical Supply, Inc.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "First Choice Medical Supply, Inc.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Rehab Medical of Salt Lake, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.