Michael Cuthbertson, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT - 4488 Issued in ID

Practice address

3456 E 17TH St Ste 130
Ammon, ID 83406-6777

Phone

(208) 523-0030

Fax

(208) 523-3828

NPI assigned

May 13, 2016

Sex

Male

Sole proprietor

Yes

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.

• Manual Physical Therapy Specialists

  • Orthopedic Physical Therapist
  • Idaho Falls, ID
  • NPI 1750957320
  NPD Authorized official
• Peak Performance Therapy Services P C

  • Physical Therapist
  • Ammon, ID
  • NPI 1003898974
  NPD (past)
• Norco Inc.

  • Durable Medical Equipment & Medical Supplies
  • Blanding, UT
  • NPI 1780546028
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 22, 2016.

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1134575772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047517",
            "telephone_number": "208-523-0030",
            "fax_number": "208-523-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 E 17TH ST STE 130",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066777",
            "telephone_number": "208-523-0030",
            "fax_number": "208-523-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTHBERTSON",
        "first_name": "MICHAEL",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT - 4488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Crossman, BCBA
• Taresa Dawn Crow
• Cureton Counseling, LLC
• Dawn Marie Cureton, PSYD
• Tarmigan Cushing
• Carolee Marie Cutler Peck, M.D., M.P.H.
• Courtnie Cutler
• Christopher Dahle, DPT
• Tanna Jane Dalling, RESPITE
• Cassie Davis

• All providers in Ammon, ID
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.