Wasatch Physical Therapy Co
NPI 1629080544ActiveOrganization· Physical Therapist· Heber City, UT
Physical Therapist in Heber City, Utah, registered in NPPES in August 2006. The authorized official on file is Dan S. Ivie, MPT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629080544 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2006 |
| Last updated in NPPES | Nov 25, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 Part B Supplier - Clinic/Group Practice (UT) |
|---|
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