MEDICARE: RUBEN MUNOZ PTA

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	225200000X	Physical Therapy Assistant	14213001-2401	UT

General Provider Information

NPI Number	:	1851279491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUBEN MUNOZ PTA

Provider Business Mailing Address
First Line	:	BEYOND LIMITS PHYSICAL THERAPY
Second Line	:	13358 S ROSECREST RD
City	:	HERRIMAN
State	:	UT
Zip	:	84096-4501
Country	:	US
Telephone Number	:	801-302-7230
Fax Number	:	801-601-8245

Provider Business Practice Location Address
First Line	:	4317 N PONY EXPRESS PKWY STE 120
Second Line	:
City	:	EAGLE MOUNTAIN
State	:	UT
Zip	:	84005-1230
Country	:	US
Telephone Number	:	801-344-6714
Fax Number	:	801-438-7746

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2025
Last Update Date	:	12/08/2025

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