Individual provider Active NPI

Tori A Rydalch, AU.D.

  • Audiologist
  • Provo, UT
National Provider Identifier
1063307767
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
14224306-4101 Issued in UT
Practice address
1055 N 300 W Ste 211
Provo, UT 84604-3374
Phone
(801) 852-9684
Fax
(385) 476-8446
NPI assigned
Jun 11, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 14224306-4101 UT
Audiologist 231H00000X 14224306-4101 UT Primary

Addresses

Primary practice location

1055 N 300 W Ste 211
Provo, UT 84604-3374

Mailing address

5349 Adams Ave Pkwy Ste C
Ogden, UT 84405-4736
Phone (801) 479-3346

Other practice location 1

3668 W 2150 N Fl 3
Lehi, UT 84043-7798
Phone (385) 287-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250708002226 UT Practitioner - Qualified Audiologist 1052825593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogden Audiology Services LLCGroup PAC ID 0446401194, 9 clinicians

Practice addresses (Care Compare)

1055 N 300
Suite 211
Provo, UT 84604-3374
Phone (801) 852-9684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14224306-4101UTMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Audiology Services LLC Audiologist CurrentSince May 5, 2025 Accepting new patients

Locations

3668 W 2150 N
Fl 3
Lehi, UT 84048
Phone (385) 287-6070

5349 Adams Avenue Pkwy
#C
Ogden, UT 84405
Phone (801) 479-0725

1055 N 300 W
Ste 211
Provo, UT 84604
Phone (801) 852-9684

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1063307767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 ADAMS AVE PKWY STE C",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054736",
            "telephone_number": "801-479-3346",
            "fax_number": "801-479-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 211",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043374",
            "telephone_number": "801-852-9684",
            "fax_number": "385-476-8446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3668 W 2150 N Fl 3",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840437798",
            "country_code": "US",
            "telephone_number": "385-287-6070",
            "fax_number": "385-476-8587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYDALCH",
        "first_name": "TORI",
        "middle_name": "A",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "UT",
            "license": "14224306-4101",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "14224306-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.

Verify at the official NPI Registry.