ROCK RUN PHYSICAL THERAPY AND REHAB SPECIALISTS,LLC – Physical Therapist, NPI 1629012240
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ROCK RUN PHYSICAL THERAPY AND REHAB SPECIALISTS,LLC
780 S 2000 W Ste 104
Syracuse, UT 840759602
Phone: (801) 896-9200
Fax: (801) 896-1550
Type: Location
1730 E 3100 N Ste 1
Layton, UT 840402408
Phone: (385) 515-4810
Fax: (385) 515-4809
Type: Location
South 2000 West, Syracuse, Davis County, Utah, 84075, United States
SYRACUSE, UT 840759691
Phone: (801) 896-9200
Fax: (801) 896-1550
Type: Mailing
5991 S 3500 W STE 300
ROY, UT 840676702
Phone: (801) 985-2700
Fax: (801) 985-2707
Type: Mailing
South 3500 West, Roy, Weber County, Utah, 84067, United States
ROY, UT 84067
Phone: (801) 985-2700
Fax: (801) 985-2707
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: 2006-12-04
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 |
|---|---|---|---|---|
| O20061204000528 | O | Clinic/Group 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 84075)
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