Independence Rehab
NPI 1407982630 · Physical Therapist · Salt Lake City, UT
Independence Rehab is a Physical Therapist organization in Salt Lake City, UT (NPI 1407982630).
Provider details
- NPI number
- 1407982630
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Chad Fullmer, Vice President(801) 635-6602
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-02-23
- Last updated
- 2011-12-23
Frequently asked questions
- What is Independence Rehab's NPI number?
- Independence Rehab's National Provider Identifier (NPI) is 1407982630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independence Rehab?
- Independence Rehab is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Independence Rehab located?
- Independence Rehab's practice location on file with NPPES is 1430 E 4500 S, Salt Lake City, UT 84117-4208.
- What is Independence Rehab's phone number?
- The practice phone number listed in the NPPES registry for Independence Rehab is (801) 426-4905.
- Who is the authorized official for Independence Rehab?
- The authorized official listed on Independence Rehab's NPPES record is Chad Fullmer, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independence Rehab's NPI active?
- Yes — Independence Rehab's NPI (1407982630) is active in the NPPES registry as of the last update on 2011-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.