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PEDIATRIC PM AND R NPI 1760776223


NPI Information

NPI: 1760776223
Provider Name: PEDIATRIC PM AND R
Classification: Physical Medicine & Rehabilitation - 2081P0010X
Entity Type: Organization

Specialization: Pediatric Rehabilitation Medicine

Address:
100 MARIO CAPECCHI DR
ROOM 4400
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 662-4949
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PEDIATRIC PM AND R is a pediatric rehabilitation medicine physical medicine rehabilitation in Salt Lake City, UT. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. PEDIATRIC PM AND R NPI is 1760776223. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 MARIO CAPECCHI DR
ROOM 4400
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-4949
Fax: (801) 662-4931

The provider's authorized official is Elie P Elovic .
The authorized official title is Chair and has the following contact phone number (801) 662-4949.

The enumeration date for this NPI number is 6/1/2011 and was last updated on 6/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & Rehabilitation72775361205UTAHNo
22081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine72775361205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.