| Utah Luna Care Physical Therapy Llc | |
|
159 W Broadway Ste 200, Salt Lake City, UT 84101-1923 | |
| (866) 806-3599 | |
| (833) 817-7128 |
| Full Name | Utah Luna Care Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 159 W Broadway Ste 200, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437802246 | NPI | - | NPPES |
| Provider Name | Laine Earl Sabey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851337133 PECOS PAC ID: 8527045996 Enrollment ID: I20040702000600 |
| Provider Name | Karin Ingrid Maria Westlen-boyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811028277 PECOS PAC ID: 9032381298 Enrollment ID: I20111012000091 |
| Provider Name | Holly K Chiodo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528251022 PECOS PAC ID: 9537335195 Enrollment ID: I20120103000193 |
| Provider Name | Carter A Blackham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932521986 PECOS PAC ID: 9830316488 Enrollment ID: I20140806000264 |
| Provider Name | Jennifer P Divis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851832620 PECOS PAC ID: 9032496559 Enrollment ID: I20170510000027 |
| Provider Name | Clayton Powers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003343971 PECOS PAC ID: 7012280563 Enrollment ID: I20170905000979 |
| Provider Name | Alex Steven Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528426988 PECOS PAC ID: 2062710205 Enrollment ID: I20191017000480 |
| Provider Name | Jennifer L Gutierrez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740388297 PECOS PAC ID: 5799096665 Enrollment ID: I20200219001128 |
| Provider Name | Eric J Steadman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518556109 PECOS PAC ID: 1254748510 Enrollment ID: I20210402000323 |
| Provider Name | Austin Wade Felman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205403110 PECOS PAC ID: 1153722285 Enrollment ID: I20210628001401 |
| Provider Name | Laura Elizabeth Vinci De Vanegas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184143729 PECOS PAC ID: 9032473178 Enrollment ID: I20211229001839 |
| Provider Name | Ross Wilcox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811645682 PECOS PAC ID: 6608262514 Enrollment ID: I20220401000552 |
| Provider Name | Brady Kielgas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487302121 PECOS PAC ID: 1153717079 Enrollment ID: I20220401000969 |
| Provider Name | Daniel Sandberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891214359 PECOS PAC ID: 4789941394 Enrollment ID: I20220425000290 |
| Provider Name | Megan C Hanrahan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982728598 PECOS PAC ID: 0042698102 Enrollment ID: I20220601001105 |
| Provider Name | Mila Ranovic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205037348 PECOS PAC ID: 5294113163 Enrollment ID: I20220606000289 |
| Provider Name | Maegan Bingham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457079808 PECOS PAC ID: 3072981760 Enrollment ID: I20221219000274 |
| Provider Name | Weston A Lindsay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245353879 PECOS PAC ID: 4880065770 Enrollment ID: I20230201001967 |
| Provider Name | Dominique Baskett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659033637 PECOS PAC ID: 9638568819 Enrollment ID: I20230208000777 |
| Provider Name | Laura Tuttle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902427636 PECOS PAC ID: 9234545880 Enrollment ID: I20240215001267 |
| Provider Name | Michael Taylor Flitton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356485239 PECOS PAC ID: 6901248020 Enrollment ID: I20240521002808 |
| Provider Name | Evan Lloyd Burgess |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386176071 PECOS PAC ID: 8527503515 Enrollment ID: I20240715001803 |
| Provider Name | William Richardson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114664430 PECOS PAC ID: 2365896990 Enrollment ID: I20240822001040 |
| Provider Name | Susan Nowell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841483013 PECOS PAC ID: 8527147420 Enrollment ID: I20240918002370 |
| Provider Name | Christine Dang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467007500 PECOS PAC ID: 9830620590 Enrollment ID: I20241004001720 |
| Provider Name | Anca Kulikov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205648466 PECOS PAC ID: 4981133220 Enrollment ID: I20250130003568 |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Luna Care Physical Therapy Llc Po Box 2350, Rocklin, CA 95677-8350 Ph: (650) 867-0522 | Utah Luna Care Physical Therapy Llc 159 W Broadway Ste 200, Salt Lake City, UT 84101-1923 Ph: (866) 806-3599 |
Dr. Craig M Crookston, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Ste 4400, Salt Lake City, UT 84112 Phone: 801-662-4951 Fax: 801-662-4931 | |
Joel Dela Cruz Timbol, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 | |
Eon Jarvis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 | |
Keegan Marie Ryan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-4980 | |
Elizabeth Neilson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256 | |
Eric Glad, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1515 S 1100 E, Salt Lake City, UT 84105 Phone: 801-583-5692 | |
Samantha Dawson Tandy, Dpt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 S Denver St Ste 310, Salt Lake City, UT 84111 Phone: 574-453-8548 |