Individual provider Active NPI

John H Nebeker, PT

  • Physical Therapist
  • Heber City, UT
National Provider Identifier
1043226905
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Nov 20, 2013.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1178782401 Issued in UT
Practice address
380 E 1500 S
Heber City, UT 84032-3940
Phone
(435) 654-5607
Fax
(435) 654-2602
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1178782401 UT Primary

Addresses

Primary practice location

380 E 1500 S
Heber City, UT 84032-3940

Mailing address

380 E 1500 S
Heber City, UT 84032-3940
Phone (435) 654-5607

Other identifiers 2

IdentifierTypeStateIssuer
107045484101OtherUTIHC SELECTHEALTH
88816OtherUTPEHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Heber Valley Physical Therapy Inc Past Accepting new patients
Western Summit Rehabilitation LLC Physical Therapist PastSince Sep 1, 2009 Accepting new patients

Organizations & group practices 2

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043226905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 1500 S",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323940",
            "telephone_number": "435-654-5607",
            "fax_number": "435-654-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E 1500 S",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323940",
            "telephone_number": "435-654-5607",
            "fax_number": "435-654-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBEKER",
        "first_name": "JOHN",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "1178782401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC SELECTHEALTH",
            "identifier": "107045484101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "88816",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

Verify at the official NPI Registry.