PEDIATRIC PM AND R – NPI #1760776223
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.

Health Care Provider Taxonomy Code for Physical Medicine & Rehabilitation

PEDIATRIC PM AND R is a provider located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1760776223 to PEDIATRIC PM AND R on June 01, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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

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
PEDIATRIC PM AND R

NPI Number
1760776223
Enumeration Date

(more than 15 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
PEDIATRIC PM AND R
Primary location
100 MARIO CAPECCHI DR
ROOM 4400
SALT LAKE CITY, UT 84113-1103
Phone: (801) 662-4949 Fax: (801) 662-4931
Mailing address
PO BOX 413032
SALT LAKE CITY, UT 84141-3032
Phone: (801) 213-3900 Fax: (801) 585-3655
Organization Subpart
No
Authorized Official
ELIE ELOVIC
CHAIR
Phone: (801) 662-4949
Updated
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)		 UT 72775361205
208100000X
- Physical Medicine & Rehabilitation		 UT 72775361205

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.