Beaver Valley Hospital

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BEAVER VALLEY HOSPITAL

Practice address

12702 S Fort St
Draper, UT 84020-9755

Phone

(801) 571-2704

Fax

(801) 571-8921

NPI assigned

Oct 28, 2025

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Secretary of Management Company

Phone

(949) 540-1249

Specialties & licenses 2

Addresses

Other names 1

• Draper Rehabilitation Therapy Doing business as

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1932077179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12702 S FORT ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209755",
            "telephone_number": "801-571-2704",
            "fax_number": "801-571-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 S FORT ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209755",
            "telephone_number": "801-571-2704",
            "fax_number": "801-571-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY OF MANAGEMENT COMPANY",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Draper Rehabilitation Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Bautista
• Emma Beal
• Beautiful Mountain Birth Suites, LLC
• Beaver Valley Hospital
• Beaver Valley Hospital
• Jacob R Beazer, RBT
• Elycia Bechard, MA
• Carissa Beck
• Charles L. Beck Jr., M.D.
• Craig Wayne Beck, PHARMD, BCPS

• Physical Therapy Clinic/Center in Draper, UT
• Providers in Draper, UT by specialty
• Physical Therapy Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.