1437814191 NPI number — APEX PHYSICAL THERAPY AND REHABILITATION, INC

Table of content: (NPI 1437814191)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437814191 NPI number — APEX PHYSICAL THERAPY AND REHABILITATION, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APEX PHYSICAL THERAPY AND REHABILITATION, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437814191
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/08/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1992 W ANTELOPE DR STE 1D
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAYTON
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84041-4974
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-866-9766
Provider Business Mailing Address Fax Number:
801-773-1553

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
984 S 500 W STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRIGHAM CITY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84302-4712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-866-9766
Provider Business Practice Location Address Fax Number:
801-773-1553
Provider Enumeration Date:
11/07/2021

Additional Information

Authorized Official

Authorized Official Last Name:
JENSEN
Authorized Official First Name:
ANGELA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
BILLING DIRECTOR
Authorized Official Telephone Number:
801-866-9766

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com