Active NPI
Zebadia Pessetto
- Physical Therapist
- North Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9492271-2401
- Practice address
- 2400 N Washington Blvd
North Ogden, UT 84414-7233 - Phone
- (801) 786-7700
- Fax
- (801) 786-7705
- NPI assigned
- Sep 16, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 9492271-2401 | UT | Primary |
Addresses
Primary practice location
2400 N Washington Blvd
North Ogden, UT 84414-7233
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice location 1
3895 Harrison Blvd
Ogden, UT 84403-2312
Phone (801) 387-7678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 N Washington Blvd
Ogden, UT 84414-7233
Phone (801) 786-7700
7302 S Bingham Junction Blvd
Midvale, UT 84047-4804
Phone (801) 442-5502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9492271-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Physical Therapist | Current | Accepting new patients |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
380 E 1500 S
Ste 102
Heber City, UT 84032
Phone (435) 657-4690
7302 S Bingham Junction Blvd
Midvale, UT 84047
Phone (801) 442-3300
2400 N Washington Blvd
Ogden, UT 84414
Phone (801) 387-8300
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Salt Lake City, UT
- NPI 1033822085
Physical Therapist
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1003218512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 N WASHINGTON BLVD",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844147233",
"telephone_number": "801-786-7700",
"fax_number": "801-786-7705"
}
],
"practiceLocations": [
{
"address_1": "3895 Harrison Blvd",
"address_purpose": "LOCATION",
"city": "Ogden",
"state": "UT",
"postal_code": "844032312",
"country_code": "US",
"telephone_number": "801-387-7678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PESSETTO",
"first_name": "ZEBADIA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-16",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "9492271-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.