OrganizationActive
Pure Performance Rehab
NPI 1962094219 · Physical Therapy Clinic/Center · Millcreek, UT
Provider details
- NPI number
- 1962094219
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 12066486-0162
- Organization subpart
- Yes
- Authorized official
- Audrey Mallon, Co-Business Owner(541) 490-4450
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2295 S 2000 E Unit C
Millcreek, UT 84106-4138
Phone: (541) 490-4450
Street-level locationGet directions
Mailing address
235 E Whitlock Ave
Salt Lake City, UT 84115-3224
Registry dates
- Enumerated
- 2021-02-08
- Last updated
- 2021-02-08
- Certified
- 2021-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.