Andrew Simon, PT, DPT
NPI 1285259101ActiveIndividual· Physical Therapist· Magna, UT
Physical Therapist (PT, DPT) with Mountain Land Rehabilitation LLC, practicing in Magna, Utah. Medicare paid $2,307 for services to 12 patients in 2024.
Overview
| NPI | 1285259101 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jun 16, 2020 |
| Last updated in NPPES | Jul 6, 2020 |
| Certified by provider | Jul 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11739301-2401 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 | 12 |
|---|---|
| Services billed | 174 across 7 procedure codes |
| Paid by Medicare | $2,307 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Mountain Land Rehabilitation LLCTaylorsville, UT · 210 clinicians
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