Intermountain Physical Therapy and Rehabilitation – Rehabilitation Clinic/Center, NPI 1033822085
Rehabilitation Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Intermountain Physical Therapy and Rehabilitation
3895 Harrison Blvd
Ogden, UT 844032312
Phone: (801) 387-7678
Type: Location
652 S Medical Center Dr Ste Ll10
St George, UT 847907269
Phone: (435) 251-2250
Type: Location
1157 N 300 W
Provo, UT 846046124
Phone: (801) 357-1250
Type: Location
1300 N 500 E
Logan, UT 843412408
Phone: (435) 716-2273
Type: Location
PO BOX 25537
SALT LAKE CITY, UT 841250537
Phone:
Type: Mailing
324 E 10TH AVE STE 100
SALT LAKE CITY, UT 841032870
Phone: (801) 408-5735
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20230627000064 | O | Physical/Occupational Therapy Group In Private Practice | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84403)
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