Individual provider Active NPI

Matthew Oakden

  • Physical Therapist
  • St George, UT
National Provider Identifier
1033567862
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12567678-2401 Issued in UT
Practice address
652 S Medical Center Dr Lowr Level
St George, UT 84790-7049
Phone
(435) 251-2250
Fax
(435) 251-2255
NPI assigned
Jun 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4473 NV
Physical Therapist 225100000X 12567678-2401 UT Primary
Physical Therapist 225100000X 4627 ID

Addresses

Primary practice location

652 S Medical Center Dr Lowr Level
St George, UT 84790-7049

Mailing address

652 S Medical Center Dr Lowr Level
St George, UT 84790-7049
Phone (435) 251-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210422001292 NV Practitioner - Physical Therapist in Private Practice 6406264910 Reassigns benefits to 1 organization
I20220620001583 UT Practitioner - Physical Therapist in Private Practice 6406264910 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4627IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Sep 27, 2023 Accepting new patients
Ihc Health Services Inc Physical Therapist CurrentSince Sep 27, 2023 Accepting new patients
Smith Therapy Partners Physical Therapist CurrentSince Mar 22, 2021 Accepting new patients
Sunrise Mountainview Hospital, Inc. PastSince Apr 1, 2021 Accepting new patients

Locations

727 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 459-4900

10040 Alta Dr
Ste 230
Las Vegas, NV 89145
Phone (725) 726-7947

2820 W Charleston Blvd
Ste 1
Las Vegas, NV 89102

10785 W Twain Ave
Ste 250
Las Vegas, NV 89135

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

652 S Medical Center Dr
Lowr
St George, UT 84790
Phone (435) 251-2250

652 S Medical Center Dr
Ste LL10
St George, UT 84790
Phone (435) 251-2250

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1033567862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 S MEDICAL CENTER DR LOWR LEVEL",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907049",
            "telephone_number": "435-251-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 S MEDICAL CENTER DR LOWR LEVEL",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907049",
            "telephone_number": "435-251-2250",
            "fax_number": "435-251-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKDEN",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4473",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12567678-2401",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "4627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.