Individual provider Active NPI

Joshua J Minori, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Murray, UT
National Provider Identifier
1942560479
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
10948624-1204 Issued in UT
Practice address
5801 S Fashion Blvd
Murray, UT 84107-6159
Phone
(801) 262-7246
Fax
(801) 262-3442
NPI assigned
May 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 10948624-1204 UT Primary

Addresses

Primary practice location

5801 S Fashion Blvd
Murray, UT 84107-6159

Mailing address

274 N Main St
Logan, UT 84321-3915
Phone (435) 753-1600

Other practice location 1

346 E State Rd
Pleasant Grove, UT 84062-3617
Phone (801) 262-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181214001355 UT Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3870838105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

900 Round Valley Dr
Suite 200
Park City, UT 84060-7552
Phone (435) 658-7400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 1, 2020 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

380 E 1500 S
Ste 202
Heber City, UT 84032
Phone (435) 657-4600

380 E 1500 S
Heber City, UT 84032
Phone (435) 654-2500

5801 S Fashion Blvd
Murray, UT 84107
Phone (801) 314-4185

900 Round Valley Dr
Ste 200
Park City, UT 84060
Phone (435) 658-7246

900 Round Valley Dr
Ste 1
Park City, UT 84060

395 W Cougar Blvd
Ste 504
Provo, UT 84604
Phone (801) 357-7291

9450 S 1300 E
Ste 120
Sandy, UT 84094
Phone (801) 501-5500

389 S 900 E
Slc, UT 84102
Phone (385) 282-2000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1942560479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 N MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213915",
            "telephone_number": "435-753-1600",
            "fax_number": "435-753-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S FASHION BLVD",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076159",
            "telephone_number": "801-262-7246",
            "fax_number": "801-262-3442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "346 E State Rd",
            "address_purpose": "LOCATION",
            "city": "Pleasant Grove",
            "state": "UT",
            "postal_code": "840623617",
            "country_code": "US",
            "telephone_number": "801-262-7246",
            "fax_number": "801-262-3442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINORI",
        "first_name": "JOSHUA",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "UT",
            "license": "10948624-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.