Tao Li (NPI# 1376725143, PAC ID# 4880765049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1376725143 |
| PAC ID by PECOS | 4880765049 |
| Professional Enrollment ID | I20080616000139 |
| Full Name | Tao Li |
| Organization Legal Name | UT CENTER FOR PAIN MANAGEMENT AND RESEARCH, INC |
| Address |
1575 W 7000 West Jordan UT 84084-3431 |
| Phone Number | 8018336569 |
| Gender | M |
| Graduation Year | 1987 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 4587560693 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3585 N University Ave, Suite 150, Provo, UT 84604-6630 | 8013566100 | UT CENTER FOR PAIN MANAGEMENT AND RESEARCH, INC |
| 1575 W 7000, West Jordan, UT 84084-3431 | 8018336569 | UT CENTER FOR PAIN MANAGEMENT AND RESEARCH, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | UT CENTER FOR PAIN MANAGEMENT AND RESEARCH, INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard M Rosenthal | Pain Management | Ut Center for Pain Management and Research, Inc | 3585 N University Ave, Suite 150, Provo, UT 84604-6630 |
| Jason Jon Nakken | Pain Management | Ut Center for Pain Management and Research, Inc | 3585 N University Ave, Suite 150, Provo, UT 84604-6630 |
| Diane Smith | Nurse Practitioner | Ut Center for Pain Management and Research, Inc | 3585 N University Ave, Suite 150, Provo, UT 84604-6630 |
| Travis K Layne | Physician Assistant | Ut Center for Pain Management and Research, Inc | 3585 N University Ave, 150 Nexus Pain Care, Provo, UT 84604-6630 |
| Street Address |
1575 W 7000 |
| City | WEST JORDAN |
| State | UT |
| Zip | 84084-3431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula H Bryant | Physician Assistant | Physician Group of Utah Inc | 1575 W 7000, West Jordan, UT 84084-3431 |
| Jacob Keith Hoffmann | Physician Assistant | Physician Group of Utah Inc | 1575 W 7000, West Jordan, UT 84084-3431 |
| Randall L Watson | Family Medicine | Physician Group of Utah Inc | 1575 W 7000, West Jordan, UT 84084-3431 |
| Chuck H Gee | Physician Assistant | Physician Group of Utah Inc | 1575 W 7000, West Jordan, UT 84084-3431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor Blanco | Optometry | Vision Health Center, Inc. | 7555 S Ctr View Ct, Suite 101, West Jordan, UT 84084-1970 |
| Stephanie A Castle | Optometry | Vision Health Center, Inc. | 7555 S Ctr View Ct, Suite 101, West Jordan, UT 84084-1970 |
| William C Poulter | Optometry | Vision Health Center, Inc. | 7555 S Ctr View Ct, Suite 101, West Jordan, UT 84084-1970 |
| Kerry A Okelberry | Optometry | 6705 S Redwood Rd, West Jordan, UT 84084-2402 | |
| Darren B Jenkins | Family Medicine | 6933 S 1300, West Jordan, UT 84084-2554 | |
| Austin P Francom | Nurse Practitioner | Summit Clinical Services of Utah LLC | 1561 W 7000, Suite 200, West Jordan, UT 84084-3556 |
| Christiaan H Goebel | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 1561 W 7000, Suite 100, West Jordan, UT 84084-3556 |
| Elizabeth E Auger | Podiatry | 1561 W 7000, Suite 200, West Jordan, UT 84084-3556 | |
| Mark D Francom | Nurse Practitioner | Summit Clinical Services of Utah LLC | 1561 W 7000, Suite 200, West Jordan, UT 84084-3556 |
| Trevor R Williams | Podiatry | 1561 W 7000, Suite 100, West Jordan, UT 84084-3556 | |
| Find all physicians in zip 84084 | |||
| City | WEST JORDAN |
| Zip Code | 84084 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | WEST JORDAN + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Tao Li.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.