Wasatch RPM LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

WASATCH RPM LLC

Practice address

5825 Harrison Blvd
Ogden, UT 84403-4316

Phone

(801) 475-5254

Fax

(801) 797-0278

NPI assigned

Feb 12, 2024

Last updated

Jun 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Fyans

Title

Owner

Phone

(801) 475-5254

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Mack Eversole, D.O.

  • Family Medicine Physician
  • Mancos, CO
  • NPI 1699159178

  FL

  Medicare reassignment

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1053175976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034316",
            "telephone_number": "801-475-5254",
            "fax_number": "801-797-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034316",
            "telephone_number": "801-475-5254",
            "fax_number": "801-797-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH RPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "FYANS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-475-5254"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wasatch Dental Association, P.C.
• Wasatch Dermatology, PC
• Wasatch Physical and Rehabilitation Medicine, P.C.
• Wasatch Podiatry PLLC
• Wasatch Post-Acute Services
• Wasatch Therapy Inc
• Hannah Washke
• Waterfall Canyon Academy, Inc.
• Waters Counseling
• Amelia Waters

• Physical Medicine & Rehabilitation Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.