Provider Demographics
NPI:1457429946
Name:FARMINGTON PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:FARMINGTON PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:I
Authorized Official - Last Name:ARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:801-451-5985
Mailing Address - Street 1:PO BOX 349
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-0349
Mailing Address - Country:US
Mailing Address - Phone:801-451-5985
Mailing Address - Fax:801-451-5986
Practice Address - Street 1:47 S 100 E
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025-2375
Practice Address - Country:US
Practice Address - Phone:801-451-5985
Practice Address - Fax:801-451-5986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3640492401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT005789501Medicare PIN
UT000057895Medicare PIN