Custom Specialty Rehab is a
Physical Therapist based in Hooper, Utah. Custom Specialty Rehab is licensed to practice in * (Not Available) (license number ) and their current practice location is
5820 W 3800 S, Hooper, Utah. It can be reached at their office (for appointments etc.) via phone at
(801) 781-0084.
NPI number for Custom Specialty Rehab is 1720363898 and their current mailing address is 5820 W 3800 S, Hooper, Utah. Custom Specialty Rehab
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1720363898.
Healthcare Provider's Profile
Full Name | Custom Specialty Rehab |
---|
Type | Facility |
---|
Speciality | Physical Therapist |
---|
Location | 5820 W 3800 S, Hooper, Utah |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720363898
- Provider Enumeration Date: 10/20/2011
- Last Update Date: 10/20/2011
Medical Identifiers
Medical identifiers for Custom Specialty Rehab such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720363898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Custom Specialty Rehab is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Custom Specialty Rehab 5820 W 3800 S, Hooper, UT 84315-9803 Ph: () - | Custom Specialty Rehab 5820 W 3800 S, Hooper, UT 84315-9803 Ph: (801) 781-0084 |
Reviews and Comments