OrganizationActive
Core Rehabilitation and Spine Center
NPI 1093810251 · Physical Therapy Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1093810251
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Irene Acevedo, Director(801) 979-4722
- License
- 6002870-0160 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4885 S 900 E
Suite 107
Salt Lake City, UT 84117-5746
Phone: (801) 979-4722
Street-level locationGet directions
Mailing address
4885 S 900 E
Salt Lake City, UT 84117-5746
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.