Independence Rehab
NPI 1407982630ActiveOrganization· Physical Therapist· Salt Lake City, UT
Physical Therapist in Salt Lake City, Utah, registered in NPPES in February 2007. The authorized official on file is Chad B. Fullmer, Vice President.
Overview
| NPI | 1407982630 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 23, 2007 |
| Last updated in NPPES | Dec 23, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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