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NPI Code Detail

MEDICARE: REGISTERED PHYSICAL THERAPISTS LLC

MEDICARE: REGISTERED PHYSICAL THERAPISTS 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
1261QP2000XPhysical Therapy Clinic/Center0052924012UT

General Provider Information

NPI Number : 1477582633
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGISTERED PHYSICAL THERAPISTS LLC
Provider Business Mailing Address
First Line : PO BOX 711185
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84171-1185
Country : US
Telephone Number : 801-942-3311
Fax Number : 801-942-5955
Provider Business Practice Location Address
First Line : 9844 S 1300 E STE 200
Second Line :
City : SANDY
State : UT
Zip : 84094-4689
Country : US
Telephone Number : 801-572-0690
Fax Number : 801-572-0696
Authorized Official
Title or Position : CHIEF REVENUE OFFICER
Name : COURTNEY LISZKA
Credential :
Telephone Number : 801-942-3311
Provider Enumeration Date : 07/01/2006
Last Update Date : 03/11/2026

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Directions to “REGISTERED PHYSICAL THERAPISTS LLC ” Practice Location

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