MT. OGDEN HEALTH AND REHABILITATION CENTER
NPI 1427565480
Clinic/Center - Physical Therapy in Washington Terrace, UT

NPI Status: Active since December 29, 2017

Contact Information

375 E 5350 S
WASHINGTON TERRACE, UT
ZIP 84405
Phone: (801) 479-5700
Fax: (801) 476-8913

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • CLIA Number: 46D2035763
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 01-23-2026

About MT. OGDEN HEALTH AND REHABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Mt. Ogden Health And Rehabilitation Center, a provider established in Washington Terrace, Utah operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1427565480 assigned on December 2017. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Mt. Ogden Health And Rehabilitation Center. The authorized official of this NPI record is Soon Burnam (Delegated Official)

NPI
1427565480
Provider Legal Name
BEAVER VALLEY HOSPITAL
Other Organization Name
MT. OGDEN HEALTH AND REHABILITATION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
375 E 5350 S WASHINGTON TERRACE, UT 84405
Location Phone
(801) 479-5700
Location Fax
(801) 476-8913
Mailing Address
375 E 5350 S WASHINGTON TERRACE, UT 84405
Mailing Phone
(801) 479-5700
Mailing Fax
(801) 476-8913
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2017
Last Update Date
12-29-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SOON BURNAM

Authorized Official Title
DELEGATED OFFICIAL
Authorized Official Phone
(949) 540-1249

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2035763
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
January 24, 2024
Certificate Expiration Date
January 23, 2026
Laboratory Director
CASEY L. STETTER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mt. Ogden Health And Rehabilitation Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MT. OGDEN HEALTH AND REHABILITATION CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427565480
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244710610416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 0 + 6 + 1 + 0 + 4 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1427565480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295768802WASHINGTON HEIGHTS HEALTHCARE, INC.
Organization
Skilled Nursing Facility375 E 5350 S
WASHINGTON TERRACE, UT 84405
(801) 479-5700
1811123169DR. DENNIS PORTER LAW M.D.
Individual
Internal Medicine375 E 5350 S
OGDEN, UT 84405
(801) 845-3100
1063054161 NEESHA WRIGHT
Individual
Physical Therapy Assistant375 E 5350 S
OGDEN, UT 84405
(801) 479-5700
1912549015 JILL WILLIS
Individual
Occupational Therapy Assistant375 E 5350 S
WASHINGTON TERRACE, UT 84405
(801) 479-5700
1821630922 MONICA RICARDEZ PTA
Individual
Physical Therapy Assistant375 E 5350 S
OGDEN, UT 84405
(801) 479-5700
1730721838 CARSON CALL PTA
Individual
Physical Therapy Assistant375 E 5350 S
WASHINGTON TERRACE, UT 84405
(801) 479-5700
1992738504UTAH SENIOR SERVICES, INC.
Organization
Skilled Nursing Facility375 E 5350 S
OGDEN, UT 84405
(801) 479-5700
1962955229BEAVER VALLEY HOSPITAL
Organization
Skilled Nursing Facility375 E 5350 S
WASHINGTON TERRACE, UT 84405
(801) 479-5700
1073281150 DALLEN S WHEELWRIGHT DPT
Individual
Physical Therapist375 E 5350 S
OGDEN, UT 84405
(801) 479-5700
1033961701 NICOLE VICTORIA CUNDICK TRT
Individual
Recreation Therapist375 E 5350 S
WASHINGTON TERRACE, UT 84405
(801) 645-3972
1821843293 JUDY ANN ROYBAL TRT
Individual
Recreation Therapist375 E 5350 S
WASHINGTON TERRACE, UT 84405
(801) 479-5700
1235920943 JESSICA FRANZ
Individual
Speech-Language Pathologist375 E 5350 S
OGDEN, UT 84405
(801) 479-5700
1902699481BEAVER VALLEY HOSPITAL
Organization
Clinic/Center (Physical Therapy)375 E 5350 S
WASHINGTON TERRACE, UT 84405
(801) 479-5700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427565480, enumerated in the NPI registry as an "organization" on December 29, 2017

The provider is located at 375 E 5350 S Washington Terrace, Ut 84405 and the phone number is (801) 479-5700

This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy

The provider's CLIA number is 46D2035763 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 29, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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