Jacob Proffit, DPT, ATC
NPI 1154185148ActiveIndividual· Physical Therapist· Logan, UT
Physical Therapist (DPT, ATC) with Wasatch Therapy Inc, practicing in Logan, Utah. Medicare paid $37,208 for services to 61 patients in 2024.
Overview
| NPI | 1154185148 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, ATC |
| Sole proprietor | No |
| NPI issued | Feb 9, 2024 |
| Last updated in NPPES | Feb 9, 2024 |
| Certified by provider | Feb 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11965771-2401 | UT |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 11965771-4810 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 61 |
|---|---|
| Services billed | 1,901 across 10 procedure codes |
| Paid by Medicare | $37,208 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Wasatch Therapy IncOgden, UT · 10 clinicians
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