MEDICARE: OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A. (UT)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QH0100X	Health Service Clinic/Center
2	261QP2000X	Physical Therapy Clinic/Center
3	261QX0100X	Occupational Medicine Clinic/Center

General Provider Information

NPI Number	:	1033939038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A. (UT)

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DR STE 1200W
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-4624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 S WILLEY WAY STE 101
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84104-6031
Country	:	US
Telephone Number	:	801-975-1600
Fax Number	:	801-973-0605

Authorized Official
Title or Position	:	VP
Name	:	DR. JOHN R ANDERSON
Credential	:	DO
Telephone Number	:	972-364-8000

Provider Enumeration Date	:	10/14/2024
Last Update Date	:	06/22/2025

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Directions to “OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A. (UT) ” Practice Location

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