Organization Active NPI

Therapeak, Inc.

  • Geriatric Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1972713329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
472625532001 Issued in UT
Legal business name
THERAPEAK, INC.
Practice address
4001 S 700 E
Suite 500
Salt Lake City, UT 84107-2177
Phone
(801) 264-6781
Fax
(801) 264-6782
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Robert Charles Brozowski
Title
President
Phone
(801) 264-6781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251G0304X 472625532001 UT Primary

Addresses

Primary practice location

4001 S 700 E
Suite 500
Salt Lake City, UT 84107-2177

Mailing address

4001 S 700 E
Suite 500
Salt Lake City, UT 84107-2177
Phone (801) 264-6781

National Provider Directory

National Provider Directory

Locations

300 N Marietta St
Ste 125
Greenup, IL 62428
Phone (217) 923-3186

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972713329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 S 700 E",
            "address_2": "SUITE 500",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072177",
            "telephone_number": "801-264-6781",
            "fax_number": "801-264-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 S 700 E",
            "address_2": "SUITE 500",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072177",
            "telephone_number": "801-264-6781",
            "fax_number": "801-264-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEAK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROZOWSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-264-6781",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "UT",
            "license": "472625532001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.