OrganizationActive
Shriners Hospitals for Children
NPI 1033789755 · Rehabilitation Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1033789755
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Gantt, President(813) 281-0300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1275 E Fairfax Rd
Salt Lake City, UT 84103-4324
Phone: (801) 536-3500
Street-level locationGet directions
Mailing address
Po Box 8500 Lockbox 7642
Philadelphia, PA 19178-1435
Other names (DBA / former)
- Other name
- Shriners Hospitals for Children Rehabilitation Clinic
Registry dates
- Enumerated
- 2021-06-25
- Last updated
- 2021-06-25
- Certified
- 2021-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.