East West Health Pleasant Grove LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

EAST WEST HEALTH PLEASANT GROVE LLC

Practice address

11020 N 5500 W # 101
Highland, UT 84003-9643

Phone

(801) 829-7772

NPI assigned

Sep 15, 2019

Last updated

Jul 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Regan Archibald

Title

Owner

Phone

(435) 640-1353

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1992355630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E 1000 S STE C",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 N 5500 W # 101",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039643",
            "telephone_number": "801-829-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST HEALTH PLEASANT GROVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-15",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "ARCHIBALD",
        "authorized_official_first_name": "REGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-640-1353"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Jeanne Deuel
• Dr. Christy Kane
• Terrance Stephen Drake, MD
• Jordan Earl, RPH
• Earlux LLC
• Shelly Ebert, F.N.P.
• Edelweiss Senior Care PLLC
• Brianne Ellison
• Brandon Ray Fowler, LPN
• Kevin Jay Fromm, O.D.

• Physical Medicine & Rehabilitation Physician in Highland, UT
• Providers in Highland, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.