DR. DALLIN L DEMORDAUNT (NPI# 1336128388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336128388 |
| Entity Type | Individual |
| Full Name | DR. DALLIN L DEMORDAUNT |
| Credential | MD |
| Practice Address |
2132 N 1700 W Ste 230 Layton UT 84041-7060 |
| Practice Telephone | 8017733900 |
| Practice Fax Number | 8017733902 |
| Mailing Telephone | 8017733900 |
| Mailing Fax Number | 8017733902 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 10385220-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
10385220-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 204R00000X | Electrodiagnostic Medicine | 10385220-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100506883 | 05 | |
| NV | CAQH | 11505358 | 01 |
| UT | 3003101 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1407 N 2000 W Ste F, Clinton, UT 840158563 | 8017733900 | 8017733902 |
| 6630 S Mccarran Blvd, Suite A4, Reno, NV 895096135 | 7758282873 | 7758282889 |
| Street Address |
2132 N 1700 W STE 230 |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-7060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942290804 | Colleen Odonnell | Physician Assistant | 2132 N 1700 W Ste 230, Layton, UT 84041-7060 | 2005-10-24 |
| 1225129158 | Brent Thomas Watson | Orthopaedic Surgery | 2132 N 1700 W Ste 230, Layton, UT 84041-7060 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295045326 | Gregory C. Rasmussen | Physical Medicine & Rehabilitation | 2121 North 1700 West, Layton, UT 84041-0337 | 2010-10-07 |
| 1760593313 | William F Brandt | Physical Medicine & Rehabilitation | 1916 Layton Hills Pkwy 250, Layton, UT 84041-5723 | 2006-08-31 |
| 1598873283 | Brian H Morgan | Physical Medicine & Rehabilitation | 1916 N 700 W, Layton, UT 84041-5673 | 2006-08-25 |
| 1821167412 | Michael J Derr | Physical Medicine & Rehabilitation | 2121 N 1700 W, Layton, UT 84041-8803 | 2006-11-07 |
| 1659482289 | Douglas T Shepherd | Physical Medicine & Rehabilitation | 1916 Layton Hills Pkwy 250, Layton, UT 84041-5723 | 2006-08-31 |
| 1891728036 | Benjamin Rich Humpherys | Physical Medicine & Rehabilitation | 2121 N 1700 W, Layton, UT 84041-8803 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053977769 | Michael Tobler | Physical Medicine & Rehabilitation | 6360 S 3000 E Ste 300, Salt Lake City, UT 84121-6926 | 2019-05-17 |
| 1891255071 | Nicholas E. Gavern | Physical Medicine & Rehabilitation | 30 N 1900 E Rm 1c301, Salt Lake City, UT 84132-0002 | 2019-03-22 |
| 1952874703 | Joshua Minori Do Pllc | Physical Medicine & Rehabilitation | 2232 E Vimont Ave, Salt Lake City, UT 84109-1741 | 2019-01-04 |
| 1003302548 | Kim Marie Mckinnon | Physical Medicine & Rehabilitation | 3898 W Innovation Dr, Riverton, UT 84065-6037 | 2018-07-09 |
| 1831681923 | Davis Timpson | Physical Medicine & Rehabilitation | 6360 S 3000 E # 150, Cottonwood Heights, UT 84121-6923 | 2018-06-04 |
| 1487158960 | Marc A. Caragea | Physical Medicine & Rehabilitation | Dept of Pm&r 30 N 1900 E 1c301, Salt Lake City, UT 84132-2119 | 2018-03-20 |
| 1417465014 | Lepont Utah Medical Group | Physical Medicine & Rehabilitation | 1015 E 100 N, Logan, UT 84321-4873 | 2018-01-17 |
| 1518482546 | Alexandria Straup | Physical Medicine & Rehabilitation | 1868 W 9800 S # 200, South Jordan, UT 84095-4713 | 2017-08-10 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1619327939 | Joseph C Fyans PC | Physical Medicine & Rehabilitation | 5064 N Ravencrest Ln, Lehi, UT 84043-7725 | 2016-06-17 |
| 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.