Intermountain Rehabilitation Agency – Rehabilitation Clinic/Center, NPI 1174540058

Intermountain Rehabilitation Agency is a healthcare provider. based in Salt lake city, Utah. specializing in Rehabilitation Clinic/Center. The NPI Number for Intermountain Rehabilitation Agency is 1174540058

Main info

Organization
Name
Intermountain Rehabilitation Agency
NPI
1174540058
Phone
Not provided
Address
4646 LAKE PARK BLVD
Authorized Official
MR. DENIS SMITH CHIEF FINANCIAL OFFICER
Enumeration Date
16 July 2006
Last Update Date
16 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Intermountain Rehabilitation Agency

  • 4646, Lake Park Boulevard, West Valley City, Salt Lake County, Utah, 84120, United States

    SALT LAKE CITY, UT 841208212

    Phone:

    Type: Mailing

  • PO BOX 25537

    SALT LAKE CITY, UT 841250537

    Phone:

    Type: Mailing

  • 1685, 2200 South, West Valley City, Salt Lake County, Utah, 84119, United States

    SALT LAKE CITY, UT 841191456

    Phone: (801) 887-5455

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 84120)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Intermountain Rehabilitation Agency?
Intermountain Rehabilitation Agency — NPI 1174540058 — is the standard way to identify this listing.
Can I rely on Intermountain Rehabilitation Agency being an active provider?
As of the registry snapshot, Intermountain Rehabilitation Agency is marked active.
What taxonomy line describes Intermountain Rehabilitation Agency?
For research purposes, treat Intermountain Rehabilitation Agency as Rehabilitation Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
Where is Intermountain Rehabilitation Agency based?
Intermountain Rehabilitation Agency is tied to Salt Lake City, Utah in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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