OrganizationActive
Intermountain Healthcare
NPI 1114378288 · Physical Therapy Clinic/Center · Riverton, UT
Provider details
- NPI number
- 1114378288
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Pam Dibblee, Dpt, Clinic Manager(801) 285-3400
- License
- 9811303-8016 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3741 W 12600 S
Riverton, UT 84065-7215
Phone: (801) 285-3400
Street-level locationGet directions
Mailing address
3741 W 12600 S
Riverton, UT 84065-7215
Registry dates
- Enumerated
- 2016-06-29
- Last updated
- 2016-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.