FORWARD REHAB (NPI# 1730701483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730701483 |
| Entity Type | Organization |
| Organization Name | FORWARD REHAB |
| Practice Address |
2100 Park Ave # 683745 Park City UT 84060-8100 |
| Mailing Address |
Po Box 683745 Park City UT 84068-3745 |
| Practice Telephone | 2067954360 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | CARLY BROOKS (OWNER) |
| Authorized Official Telephone | 2067954360 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2100 PARK AVE # 683745 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233920 | Livecare, Inc. | Nursing Care | 1830 Prospector Avenue, Park City, UT 84060 | 2020-04-02 |
| 1063904266 | Louise Knetzger Gallagher | Acupuncturist | 1107 Woodside Ave, Park City, UT 84060 | 2018-06-04 |
| 1942753421 | Valerie Alison Mey | Dietitian, Registered | 2985 Arabian Dr, Park City, UT 84060 | 2016-08-01 |
| 1659720936 | Vibrant Health PC | Anesthesiology | 1910 Prospector Ave Suite 302, Park City, UT 84060 | 2016-06-08 |
| 1538538657 | Pamela Hilbert | Dentist | 1830 Prospector Ave., Park City, UT 84060 | 2015-09-18 |
| 1174904924 | Julie Anna Bullen | Counselor | 2300 Monitor Drive, Park City, UT 84060 | 2015-06-17 |
| 1265825319 | William Gary Smith | Obstetrics & Gynecology | 2501 Creek Drive, Park City, UT 84060 | 2015-03-13 |
| 1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
| 1538454541 | Belinda Duncan | Pharmacist | 2700 E Deer Valley Dr B105, Park City, UT 84060 | 2011-06-17 |
| 1184888315 | Cody Michael Calderwood | Dentist | 1600 Snow Creek Dr Ste A, Park City, UT 84060 | 2008-07-16 |
| Find all providers in zip 84060 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
| 1801031513 | Ruth M Young | Rehabilitation Practitioner | 9035 S 1300 E Ste 1, Sandy, UT 84094-3131 | 2008-12-09 |
| 1689191413 | Cristina Isabel Amaya | Rehabilitation Practitioner | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2017-08-23 |
| 1023451184 | Zip Rehab LLC | Rehabilitation Practitioner | 689 E 400 N, Bountiful, UT 84010-3614 | 2013-04-09 |
| 1548490196 | Benjamin John Johnson | Rehabilitation Practitioner | 1490 E Foremaster Dr Ste 110, St George, UT 84790-4492 | 2009-07-16 |
| 1932230224 | Richard I Merideth | Rehabilitation Practitioner | 1141 E 3900 S, A-200, Salt Lake City, UT 84124-1215 | 2007-03-08 |
| 1578654224 | Bryan Adams | Rehabilitation Practitioner | 127 E Main St, Suite E, Lehi, UT 84043-2288 | 2006-09-27 |
Please comment or provide details below to improve the information on FORWARD REHAB.
| 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.