Jacqueline Luth, DPT, ATC
NPI 1053080788ActiveIndividual· Physical Therapist· Salt Lake City, UT
Physical Therapist (DPT, ATC) with Ihc Health Services Inc, practicing in Salt Lake City, Utah. Medicare paid $7,953 for services to 41 patients in 2024.
Overview
| NPI | 1053080788 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, ATC |
| Sole proprietor | No |
| NPI issued | Sep 7, 2021 |
| Last updated in NPPES | Sep 7, 2021 |
| Certified by provider | Sep 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 12442092-2401 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 370 across 8 procedure codes |
| Paid by Medicare | $7,953 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
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