Provider Demographics
NPI:1336246610
Name:NORTH VIEW PHYSICAL THERAPY AND INDUSTRIAL CARE INC
Entity Type:Organization
Organization Name:NORTH VIEW PHYSICAL THERAPY AND INDUSTRIAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-393-0900
Mailing Address - Street 1:349 12TH ST
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84404-5712
Mailing Address - Country:US
Mailing Address - Phone:801-393-0900
Mailing Address - Fax:801-394-6130
Practice Address - Street 1:349 12TH ST
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84404-5712
Practice Address - Country:US
Practice Address - Phone:801-393-0900
Practice Address - Fax:801-394-6130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000055702Medicare PIN