| Independence Rehab, Llc | |
|
5314 River Run Dr, Suite 140, Provo, UT 84604-5691 | |
| (801) 494-0486 | |
| (801) 494-0533 |
| Full Name | Independence Rehab, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5314 River Run Dr, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063781813 | NPI | - | NPPES |
| Provider Name | Chad B Fullmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285760033 PECOS PAC ID: 5597798108 Enrollment ID: I20060324000243 |
| Provider Name | Darin S Mcspadden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083740658 PECOS PAC ID: 6709819675 Enrollment ID: I20070305000574 |
| Provider Name | Jason W Crump |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568599132 PECOS PAC ID: 9234162108 Enrollment ID: I20070305000697 |
| Provider Name | Brian J Terry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770876468 PECOS PAC ID: 6507035185 Enrollment ID: I20110816000821 |
| Provider Name | Andrea J Moss |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720489107 PECOS PAC ID: 5496975542 Enrollment ID: I20141013001440 |
| Provider Name | Linda K Pabst |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669628756 PECOS PAC ID: 2163813072 Enrollment ID: I20220104001895 |
| Provider Name | Jonathan R Clement |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962076455 PECOS PAC ID: 1759775851 Enrollment ID: I20220307002466 |
| Provider Name | Tavin D Deru |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790281418 PECOS PAC ID: 8921456526 Enrollment ID: I20231120003323 |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Rehab, Llc 5314 River Run Dr, Suite 140, Provo, UT 84604-5691 Ph: (801) 494-0486 | Independence Rehab, Llc 5314 River Run Dr, Suite 140, Provo, UT 84604-5691 Ph: (801) 494-0486 |
Rhonda L Metcalf, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Brandon Niel Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 N 2830 W, Provo, UT 84601 Phone: 801-310-2207 | |
Ms. Maryjane Ligairi, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Jacie Saltzman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Monica Maria Alvarez Hinckley, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1157 N 300 W, Provo, UT 84604 Phone: 801-357-1250 Fax: 801-357-1255 | |
Bridger Park, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 North 500 West, Provo, UT 84604 Phone: 801-357-1250 |