Michael Tobler

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

110922452401 Issued in UT

Practice address

6360 S 3000 E Ste 300
Salt Lake City, UT 84121-6926

Phone

(385) 900-5094

NPI assigned

May 17, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1053977769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9844 S 1300 E STE 300",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944693",
            "telephone_number": "801-572-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216926",
            "telephone_number": "385-900-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBLER",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "110922452401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TLN Professional Services II, PC
• Shaylee Tobaben
• Louise K Tobey, PA-C
• John Tobias III
• Jessica Danielle Tobin, MD
• Toby a Zirkle MD LC
• Jerad Todacheenie, CSW
• Todd Daynes, MD, PC
• Douglas McLain Todd, DDS
• Hanna Todd

• Physical Medicine & Rehabilitation Physician in Salt Lake City, UT
• Providers in Salt Lake City, 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 May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.