COLOR COUNTRY PHYSICAL THERAPY LLC (NPI# 1104395821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104395821 |
| Entity Type | Organization |
| Organization Name | COLOR COUNTRY PHYSICAL THERAPY LLC |
| Practice Address |
450 E Clinic Way Ste B Parowan UT 84761 |
| Mailing Address |
485 S 300 W Cedar City UT 84720-3233 |
| Practice Telephone | 4355592613 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | EVAN APPLEGATE (PT, OWNER) |
| Authorized Official Telephone | 4355592613 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
450 E CLINIC WAY STE B |
| City | PAROWAN |
| State | UT |
| Zip Code | 84761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346796133 | June Ds Angels Home Health Care | Home Health | 38 North 600 West, Parowan, UT 84761 | 2016-08-31 |
| 1104202068 | Evan Applegate | Physical Therapist | 450 E Clinic Way Ste B, Parowan, UT 84761 | 2015-08-03 |
| 1912339664 | Entrusted Care, LLC | In Home Supportive Care | 113 S 200 E, Parowan, UT 84761 | 2013-08-05 |
| 1457638587 | Bryce Canyon Academy of Utah, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 580 N Main, Parowan, UT 84761 | 2011-11-03 |
| 1447380589 | Ihc Health Services Inc | Family Medicine | 15 E 400 N, Parowan, UT 84761 | 2007-03-07 |
| 1447325352 | Gary W. Clark Dpm A Professional Corporation | Durable Medical Equipment & Medical Supplies | 450 E. Clinic Way, Parowan, UT 84761 | 2006-11-24 |
| 1720183288 | Terrance Marshall Cooper | Chiropractor | 313 West 200 South, Parowan, UT 84761 | 2006-09-13 |
| 1013939024 | Ellen F Gardner | Family Medicine | 200 South 4200 West, Parowan, UT 84761 | 2006-07-25 |
| 1922623388 | Jonathan James Hermansen | Physical Therapist | 450 E. Clinic Way, Suite B, Parowan, UT 84761 | 2020-06-11 |
| 1720562150 | Tyson Craig Grose | Dentist | 313 West 200 South, Parowan, UT 84761 | 2018-09-21 |
| Find all providers in zip 84761 | ||||
| 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 |
| 1487261707 | Precision Jointcare LLC | Clinic/Center | 12523 S Creek Meadow Rd Ste 109, Riverton, UT 84065-7299 | 2020-09-30 |
| 1184231664 | Mountain Strong Spine and Performance | Clinic/Center | 1478 N 4925 W, Plain City, UT 84404-8300 | 2020-09-28 |
| 1881215085 | Move Well Age Well, LLC | Clinic/Center | 2223 S Highland Dr Ste E6-256, Salt Lake City, UT 84106-3672 | 2020-04-29 |
| 1215557434 | Basin Therapy LLC | Clinic/Center | 101 E 1875 S, Roosevelt, UT 84066-3828 | 2020-04-17 |
| 1780222893 | Well Being Pelvic Physical Therapy | Clinic/Center | 111 E 5600 S Ste 222, Murray, UT 84107-8164 | 2019-12-19 |
| 1265094619 | Recalibrate Physical Therapy | Clinic/Center | 3450 S 400 E, Salt Lake City, UT 84115-4604 | 2019-07-06 |
| 1598229155 | Neurorev Pllc | Clinic/Center | 520 N Market Place Dr Ste 200, Centerville, UT 84014-4904 | 2019-01-29 |
| 1629556055 | Advanced Balance and Physical Therapy LLC | Clinic/Center | 856 Sage Dr Ste 301b, Cedar City, UT 84720 | 2018-07-28 |
| 1134642911 | Wilde Heart Pt LLC | Clinic/Center | 3333 S 900 E Ste 140, Millcreek, UT 84106-2211 | 2017-07-24 |
| Find all providers with the same taxonomy | ||||
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| 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.