INTEGRAL REHABILITATION, LLC (NPI# 1306176748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306176748 |
| Entity Type | Organization |
| Organization Name | INTEGRAL REHABILITATION, LLC |
| Practice Address |
6771 S 900 E Midvale UT 84047-1436 |
| Mailing Address |
Po Box 980234 Park City UT 84098-0201 |
| Practice Telephone | 8016965257 |
| Practice Fax Number | 8016831589 |
| Mailing Telephone | 8016965257 |
| Mailing Fax Number | 8018315896 |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | HALLIE JO ROBBINS (OWNER) |
| Authorized Official Telephone | 8016965257 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ACS | 612080200 | 01 |
| Street Address |
6771 S 900 E |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689223968 | Meredith Leigh Mazillo | Case Manager/Care Coordinator | 6771 S 900 E, Midvale, UT 84047-1436 | 2019-09-09 |
| 1376062620 | Phil K Egbert | Social Worker | 6771 S 900 E, Midvale, UT 84047 | 2017-09-18 |
| 1730530718 | Next Level Recovery | Clinic/Center | 6771 S 900 E, Midvale, UT 84047-1436 | 2016-06-30 |
| 1780071365 | Christina Eleni Malters | Counselor | 6771 S 900 E, Midvale, UT 84047-1436 | 2015-04-21 |
| 1801138433 | Next Level Recovery LLC | Substance Abuse Rehabilitation Facility | 6771 S 900 E, Midvale, UT 84047-1436 | 2013-03-21 |
| 1043568710 | Kirsty Mclaren | Counselor | 6771 S 900 E, Midvale, UT 84047-1436 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932284130 | Advantage Eye Care, P. C. | Clinic/Center | 7677 S Maple St, Midvale, UT 84047-7392 | 2006-10-26 |
| 1508299892 | Utah Partners for Health | Clinic/Center | 8446 S Harrison St, Midvale, UT 84047-3501 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226237 | Utah Wellness Solutions | Clinic/Center | 1664 W Towne Center Dr Ste D, South Jordan, UT 84095-8612 | 2020-08-19 |
| 1376166561 | Nuna Munay | Clinic/Center | 9525 S Tramway Dr, Sandy, UT 84092-3108 | 2020-05-21 |
| 1679193338 | Uintah Basin Medical Center | Clinic/Center | 50 S 200 E, Duchesne, UT 84021 | 2020-04-23 |
| 1225658800 | Provider Services Network, Inc. | Clinic/Center | 765 E 340 S Ste 206, American Fork, UT 84003-3310 | 2020-04-23 |
| 1578100186 | 124 South Fairfield LLC | Clinic/Center | 124 S Fairfield Rd Ste B, Layton, UT 84041-7106 | 2019-12-02 |
| 1710468384 | Skull Valley Health Clinic | Clinic/Center | 1929 Aaron Dr Ste I, Tooele, UT 84074-8112 | 2018-08-22 |
| 1275021784 | Axis Chiropractic and Massage Clinic, LLC | Clinic/Center | 1681 W 3860 S Ste 106, West Valley City, UT 84119-6274 | 2018-04-30 |
| 1760979397 | Moenkopi Counseling PC | Clinic/Center | 230 N 1680 E Ste H2, Saint George, UT 84790-2585 | 2018-04-19 |
| 1669978896 | Southern Utah Vision Care Pllc | Clinic/Center | 1251 Northfield Rd Ste 215, Cedar City, UT 84721-8623 | 2018-04-05 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 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.