INDEPENDENCE REHAB, LLC
NPI 1063781813
Physical Therapist in Provo, UT

Active since December 23, 2011
5314 N RIVER RUN DR STE 140, PROVO, UT 84604(801) 426-4905(801) 426-4953 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Independence Rehab, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENCE REHAB, LLC (NPI 1063781813) is a healthcare organization registered as a physical therapist in Provo, Utah and active in the NPI registry since December 2011. The organization lists Chad Fullmer, Vice President, as its authorized official.

NPPES Registry Identity

NPI1063781813
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameINDEPENDENCE REHAB, LLC
Location Address5314 N RIVER RUN DR STE 140Provo, UT 84604-7706
Mailing Address5314 N River Run Dr Ste 140Provo, UT 84604-7706 · (801) 426-4905 · Fax (801) 426-4953
Fax(801) 426-4953
Organization SubpartNo
Authorized OfficialChad FullmerVice President · (801) 494-0486
Enumeration DateDecember 23, 2011
Last NPPES UpdateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
NPI 1063781813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
5314 N RIVER RUN DR STE 140, Provo, UT 84604

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Independence Rehab, LLC's NPI number?

The NPI number for Independence Rehab, LLC is 1063781813. It was assigned to this organization in the NPPES registry on December 23, 2011.

Where is Independence Rehab, LLC located?

Independence Rehab, LLC is located at 5314 N River Run Dr Ste 140, Provo, UT 84604. The listed phone number is (801) 426-4905.

What is Independence Rehab, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

What insurance does Independence Rehab, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Independence Rehab, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Independence Rehab, LLC was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.