Healthcare Provider Details

I. General information

NPI: 1487401410
Provider Name (Legal Business Name): SHAWN C REYNOLDS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3943 E PONY EXPRESS PKWY STE 220
EAGLE MOUNTAIN UT
84005-5545
US

IV. Provider business mailing address

BEYOND LIMITS PHYSICAL THERAPY 13358 S ROSECREST RD
HERRIMAN UT
84096-4501
US

V. Phone/Fax

Practice location:
  • Phone: 801-789-7333
  • Fax: 801-789-7444
Mailing address:
  • Phone: 801-789-7333
  • Fax: 801-789-7444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13968520-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: