Organization Active NPI

Rehab Medical of Salt Lake, LLC

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
National Provider Identifier
1912936865
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jun 24, 2026

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)CodeLicenseStatePrimary
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. Former legal business name
  • Rehab Medical of Salt Lake, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930074031 UT DME Supplier - Medical Supply Company 3678777984 Practice locations: South Salt Lake, UT

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Rehab Medical of Salt Lake, LLC4750 W Wiley Post Way, Salt Lake City, UT 84116-2807(801) 904-3627 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 assignmentParticipating since Jan 1, 2010

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.