CANYON RIM PHYSICAL THERAPY LLC (NPI# 1255441481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255441481 |
| Entity Type | Organization |
| Organization Name | CANYON RIM PHYSICAL THERAPY LLC |
| Practice Address |
2295 Foothill Dr Salt Lake City UT 84109-4000 |
| Practice Telephone | 8014867542 |
| Mailing Telephone | 8014867542 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | STEPHEN SHUPE (OWNER/ PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8014867542 |
| Authorized Official Credential | P.T. OCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
19921748 | UT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467562694 | Canyon Rim Physical Therapy LLC | Clinic/Center | 6360 S 3000 E, Suite 125, Salt Lake City, UT 84121-6923 | 2006-08-30 |
| Street Address |
2295 FOOTHILL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84109-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780615658 | Shana K. Eborn | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-07-06 |
| 1346559846 | Andrea Cook | Physician Assistant | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2010-09-30 |
| 1578772109 | Alexander Paul Clark | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2007-05-21 |
| 1023237088 | Heather A Jackson | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2007-04-25 |
| 1407947005 | Foothill Clinic, LLC | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-09-27 |
| 1689789281 | Stephen M Shupe | Specialist | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-08-21 |
| 1023123627 | Dede B Lewis | Specialist | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-08-21 |
| 1427062330 | Einat S Green | Physical Therapist | 2295 Foothill Dr, Salt Lake City, UT 84109 | 2006-07-28 |
| 1700811023 | Ross A. Brunetti | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-07-12 |
| 1316962442 | James T. Peterson | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1063991982 | Madison Sanderson | Physical Therapist | 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109 | 2018-08-10 |
| 1023545951 | Tyler Dale Hanks | Dentist | 2435 E 3300 S, Suite 101, Millcreek, UT 84109 | 2017-05-23 |
| 1992198881 | Cynthia R Thorpe | Marriage & Family Therapist | 2624 East Mount Crest Drive, Salt Lake City, UT 84109 | 2015-03-17 |
| 1104247295 | John Paul Lapine | Dentist | 3865 South 3500 East Ste. 201, Salt Lake City, UT 84109 | 2013-12-17 |
| 1073850301 | Weston J Horne | Massage Therapist | 2760 South 1174 East, Suite 1d, Salt Lake City, UT 84109 | 2013-01-07 |
| 1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
| 1487926341 | Richard R Flynn | Pediatrics | 2342 Dallin St., Salt Lake City, UT 84109 | 2012-02-07 |
| 1235449984 | Keyhan Koohgivi | Pharmacist | 2566 East Sage Way, Salt Lake City, UT 84109 | 2010-10-15 |
| Find all providers in zip 84109 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1881215085 | Move Well Age Well, LLC | Clinic/Center | 2223 S Highland Dr Ste E6-256, Salt Lake City, UT 84106-3672 | 2020-04-29 |
| 1265094619 | Recalibrate Physical Therapy | Clinic/Center | 3450 S 400 E, Salt Lake City, UT 84115-4604 | 2019-07-06 |
| 1659633691 | Intensive Physical Therapy Institute, LLC | Clinic/Center | 4568 S Highland Dr Ste 180, Salt Lake City, UT 84117-4236 | 2012-06-14 |
| 1285864744 | Core of Health, LLC | Clinic/Center | 84 W 700 S, Salt Lake City, UT 84101-2731 | 2009-07-19 |
| 1013037704 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2007-03-29 |
| 1346898566 | C3 Physical Therapy and Health & Wellness Services | Clinic/Center | 6216 S Redwood Rd, Salt Lake City, UT 84123-6630 | 2019-08-30 |
| 1093222077 | Beaver Valley Hospital | Clinic/Center | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2017-12-29 |
| 1891202859 | Beaver Valley Hospital | Clinic/Center | 4782 S Holladay Blvd, Salt Lake City, UT 84117-5444 | 2017-12-29 |
| 1356858328 | Beaver Valley Hospital | Clinic/Center | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2017-12-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84109 |
Please comment or provide details below to improve the information on CANYON RIM PHYSICAL THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.