Individual provider Active NPI

Lance Himelright, PT

  • Physical Therapist
  • St George, UT
National Provider Identifier
1104907096
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
120403-2401 Issued in UT
Practice address
1062 E. Riverside Drive
Suite 204
St George, UT 84790
Phone
(435) 525-1877
Fax
(435) 215-7665
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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 120403-2401 UT Primary

Addresses

Primary practice location

1062 E. Riverside Drive
Suite 204
St George, UT 84790

Mailing address

1062 E. Riverside Drive
Suite 204
St George, UT 84790
Phone (435) 525-1877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000738 UT Practitioner - Physical Therapist in Private Practice 8729030614 Receives reassigned benefits from 1 practitioner
Practice locations: St George, UT

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1062 E Riverside Dr
Suite 204
St George, UT 84790-4477
Phone (435) 525-1877

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Fit Therapy Physical Therapist CurrentSince Jun 11, 2012 Accepting new patients
Fit Quest Therapy & Rehabilitation Inc Past Accepting new patients
Comprehensive Mental and Family Healthcare PastSince Apr 1, 2021 Accepting new patients

Locations

780 N 2860 E
Ste 202
St George, UT 84790
Phone (435) 525-1877

1062 E Riverside Dr
Ste 204
St George, UT 84790
Phone (435) 525-1877

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1104907096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 E. RIVERSIDE DRIVE",
            "address_2": "SUITE 204",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-525-1877",
            "fax_number": "435-215-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 E. RIVERSIDE DRIVE",
            "address_2": "SUITE 204",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-525-1877",
            "fax_number": "435-215-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMELRIGHT",
        "first_name": "LANCE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "120403-2401",
            "primary": true
        }
    ],
    "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 May 23, 2023; 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.