PEDIATRIC PM AND R – NPI #1477917045
Physical Medicine & Rehabilitation

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 is a provider located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1477917045 to PEDIATRIC PM AND R on April 11, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PEDIATRIC PM AND R” is a dba name, the actual legal business name for this organization is UNIVERSITY OF UTAH PEDIATRIC SERVICES. The primary taxonomy selected by this provider is 2081P0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine

The NPI profile was previously updated about 5 years ago on Jan 22, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC PM AND R below.

NPI Profile for
UNIVERSITY OF UTAH PEDIATRIC SERVICES

NPI Number
1477917045
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Doing Business As (dba): PEDIATRIC PM AND R
Primary location
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1125
Phone: (801) 587-6336 Fax:
Mailing address
PO BOX 841450
LOS ANGELES, CA 90084-1450
Phone: (801) 213-3900 Fax:
Organization Subpart
Yes - PEDIATRIC PM AND R is subpart of another organization.
Authorized Official
SAMUEL FINLAYSON
CHIEF CLINICAL OFFICER
Phone: (801) 587-6336
Updated
Certification Date
Jan 22, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081P0010X
- Physical Medicine & Rehabilitation / Pediatric Rehabilitation Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.