| Philip Burroughs, | |
|
3476 W 4600 S, West Haven, UT 84401-9203 | |
| (801) 689-0200 | |
| Not Available |
| Full Name | Philip Burroughs |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 1 Years |
| Location | 3476 W 4600 S, West Haven, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891676128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14238737-2401 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Core Performance Llc | 3577532290 | 13 |
| Utah Physical Therapy, Inc. | 2163676735 | 14 |
| Provider Name | Core Performance LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003986233 PECOS PAC ID: 3577532290 Enrollment ID: O20040929000927 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Burroughs, 3476 W 4600 S, West Haven, UT 84401-9203 Ph: Not Available | Philip Burroughs, 3476 W 4600 S, West Haven, UT 84401-9203 Ph: (801) 689-0200 |
Jasmine Brown, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3476 W 4600 S, West Haven, UT 84401 Phone: 801-689-0200 |
Kyle A Knop, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3476 W 4600 S, West Haven, UT 84401 Phone: 801-689-0200 Fax: 801-689-0201 |
Garrett Hardy Jones, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3476 W 4600 S, West Haven, UT 84401 Phone: 801-689-0200 Fax: 801-689-0201 |
Mr. Dennis Tracy Gilbert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4607 Midland Dr, Suit 201, West Haven, UT 84401 Phone: 801-732-8700 Fax: 801-732-2103 |
Chad Jeffrey Tenney, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3476 W 4600 S, West Haven, UT 84401 Phone: 801-689-0200 Fax: 801-689-0201 |
Justin Denis Longhurst, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4640 S 3500 W, Suite 3, West Haven, UT 84401 Phone: 801-689-0200 Fax: 801-689-0201 |
Mitch Lillywhite, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4640 S 3500 W, West Haven, UT 84401 Phone: 801-689-0200 |