Wasatch Physical Therapy & Sports Medicine at Park City
NPI 1730194507ActiveOrganization· Physical Therapist· Park City, UT
Physical Therapist in Park City, Utah, registered in NPPES in July 2006. The authorized official on file is Dan S. Ivie, MPT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730194507 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2006 |
| Last updated in NPPES | May 17, 2018 |
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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