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NPI Code Detail

MEDICARE: UTAH PHYSICAL THERAPY, INC.

MEDICARE: UTAH PHYSICAL THERAPY, INC.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center
2225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487998431
Entity Type Code : Organization
Provider Name (Legal Business Name) : UTAH PHYSICAL THERAPY, INC.
Provider Business Mailing Address
First Line : PO BOX 66
Second Line :
City : HOOPER
State : UT
Zip : 84315-0066
Country : US
Telephone Number : 801-689-0200
Fax Number : 801-689-0201
Provider Business Practice Location Address
First Line : 3476 W 4600 S
Second Line :
City : WEST HAVEN
State : UT
Zip : 84401-9203
Country : US
Telephone Number : 801-689-0200
Fax Number : 801-689-0201
Authorized Official
Title or Position : OWNER, VP, COO, CFO
Name : MRS. SARAH J TENNEY
Credential : RN
Telephone Number : 801-689-0200
Provider Enumeration Date : 11/15/2012
Last Update Date : 09/02/2025

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