NEUROREV PLLC (NPI# 1598229155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598229155 |
Entity Type | Organization |
Organization Name | NEUROREV PLLC |
Practice Address |
520 N Market Place Dr Ste 200 Centerville UT 84014-4904 |
Practice Telephone | 8012436822 |
Mailing Telephone | 8012436822 |
Enumeration Date | 2019-01-29 |
Last Update Date | 2019-01-29 |
Authorized Official Name | JASON LEE (MANAGER) |
Authorized Official Telephone | 8012436822 |
Authorized Official Credential | PT |
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 |
520 N MARKET PLACE DR STE 200 |
City | CENTERVILLE |
State | UT |
Zip Code | 84014-4904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346879160 | Nanette F Reid | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-03 |
1124557541 | Julie Blundell | Social Worker | 1634 Lewis and Clark Dr, Centerville, UT 84014 | 2017-06-08 |
1588843395 | Lorant Steve Bodo | Assisted Living Facility | 463 West Rawlins Circle, Centerville, UT 84014 | 2007-10-29 |
1659572949 | Armando Wayne Slack | Registered Nurse | 190 S Main St, Centerville, UT 84014 | 2007-05-31 |
1467588004 | Pitt Family Dental | Dentist | 281 South Main, Centerville, UT 84014 | 2007-02-26 |
1841346467 | Lds Family Services | Specialist | 94a East Pages Lane, Centerville, UT 84014 | 2007-01-26 |
1275690489 | Do-it for You | Chore Provider | 291 E Casa Loma Drive, Centerville, UT 84014 | 2007-01-03 |
1558455527 | Brian D Rigby | Dentist | 44 East 100 South, Suite 100, Centerville, UT 84014 | 2006-10-03 |
1588756407 | Gary A Lawson | Dentist | 1080 South 400 East, Centerville, UT 84014 | 2006-09-28 |
1811526353 | Reid Physical Therapy | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-06 |
Find all providers in zip 84014 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508288804 | Synergy Family Therapy Specialists Inc | Clinic/Center | 1700 Thomas Paine Pkwy, Centerville, OH 45459-2541 | 2014-01-06 |
1073744637 | Physical Therapy Solutions | Clinic/Center | 1663 Falmouth Rd, Centerville, MA 02632-2944 | 2009-07-30 |
1720176191 | Physiotherapy Associates Inc | Clinic/Center | 1663 Falmouth Rd, Centerville, MA 02632-2944 | 2006-10-11 |
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 |
1104395821 | Color Country Physical Therapy LLC | Clinic/Center | 450 E Clinic Way, Ste B, Parowan, UT 84761 | 2018-11-26 |
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 |
City | CENTERVILLE |
Zip Code | 84014 |
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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.