| Excel Rehab Therapy Llc | |
|
11631 S 700 E, Draper, UT 84020-8288 | |
| (801) 865-2194 | |
| (877) 822-8366 |
| Full Name | Excel Rehab Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 11631 S 700 E, Draper, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477877744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 341753-2401 (Utah) | Primary |
| Provider Name | Jason M Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043506330 PECOS PAC ID: 8325099708 Enrollment ID: I20050202000823 |
| Provider Name | Kevin D Church |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376678334 PECOS PAC ID: 9638361850 Enrollment ID: I20101006000965 |
| Provider Name | Debra L. Abbott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316377690 PECOS PAC ID: 3375767718 Enrollment ID: I20140605000286 |
| Provider Name | Jennifer E Chung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659480465 PECOS PAC ID: 1557779808 Enrollment ID: I20210426002162 |
| Provider Name | Lisa Forsyth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760223937 PECOS PAC ID: 7810432283 Enrollment ID: I20240710000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Rehab Therapy Llc 10291 S 1300 E # 196, Sandy, UT 84094-4078 Ph: (801) 865-2194 | Excel Rehab Therapy Llc 11631 S 700 E, Draper, UT 84020-8288 Ph: (801) 865-2194 |
Thomas J Tardif, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 | |
Mary Elizabeth Vandeven, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Mrs. Jana Whitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 E Wadsworth Park Dr Ste 320, Draper, UT 84020 Phone: 385-308-8034 | |
Cristina Cerrone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 200, Draper, UT 84020 Phone: 801-432-2070 | |
Madison Sloss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Jordan Theresa Mansfield, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 | |
Justin Guillot, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 Fax: 385-308-8034 |