Organization Active NPI

Gardner Kelly Rehabilitation

  • Physical Therapist
  • Sandy, UT
National Provider Identifier
1942330352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GARDNER KELLY REHABILITATION
Practice address
9350 S 150 E # 460
Sandy, UT 84070-2702
Phone
(801) 255-4999
Fax
(801) 748-1865
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gregory J Gardner, PHYSICAL THERAPY
Title
Financial Manager
Phone
(801) 255-4999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9350 S 150 E # 460
Sandy, UT 84070-2702

Mailing address

9350 S 150 E # 460
Sandy, UT 84070-2702
Phone (801) 255-4999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942330352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 S 150 E # 460",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702702",
            "telephone_number": "801-255-4999",
            "fax_number": "801-748-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 S 150 E # 460",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702702",
            "telephone_number": "801-255-4999",
            "fax_number": "801-748-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER KELLY REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "801-255-4999",
        "authorized_official_credential": "PHYSICAL THERAPY"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.