MEDICARE: EMPOWERED REHAB LLC

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
1	261QP2000X	Physical Therapy Clinic/Center	5908308-2401	UT

General Provider Information

NPI Number	:	1538337837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERED REHAB LLC

Provider Business Mailing Address
First Line	:	4487 SEBAGO WAY
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-5690
Country	:	US
Telephone Number	:	801-803-9800
Fax Number	:	801-803-9801

Provider Business Practice Location Address
First Line	:	4487 SEBAGO WAY
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-5690
Country	:	US
Telephone Number	:	801-803-9800
Fax Number	:	801-803-9801

Authorized Official
Title or Position	:	REGISTERED AGENT
Name	:	JERAMIE D. GAILLARD
Credential	:	DPT
Telephone Number	:	801-803-9800

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	08/28/2008

Similar Medicare Providers

1326249780 — DR. JERAMIE D GAILLARD DPT
Practice Location Address:

4487 SEBAGO WAY
SOUTH JORDAN, UT
84095-5690

Practice Phone: 801-803-9800
Practice Fax: 888-803-9801

1558201939 — BRAEDEN JENSEN ACMHC
Practice Location Address:

10808 S RIVER FRONT PKWY STE 377
SOUTH JORDAN, UT
84095-6200

Practice Phone: 801-382-8378
Practice Fax:

1841130143 — MCKENZI VANCE PT
Practice Location Address:

1628 W 11010 S STE 101
SOUTH JORDAN, UT
84095-1278

Practice Phone: 385-503-4602
Practice Fax: 801-613-2909

1194318907 — FOUNDATION PHYSICAL THERAPY
Practice Location Address:

1628 W 11010 S STE 101
SOUTH JORDAN, UT
84095-1278

Practice Phone: 801-419-1196
Practice Fax:

1730029935 — DR. AMRITPAL BADWALZ DMD
Practice Location Address:

10894 S. RIVER FRONT PKWY SOUTH JORDAN
SOUTH JORDAN, UT
84095

Practice Phone: 801-878-1200
Practice Fax:

1497695571 — MRS. EMILY BOYER BCBA, LBA
Practice Location Address:

10404 S 1055 W
SOUTH JORDAN, UT
84095-1514

Practice Phone: 208-908-8923
Practice Fax:

Directions to “EMPOWERED REHAB LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.