Dennis Tracy Gilbert, PT

Individual provider Active NPI Physical Therapist · West Haven, UT

NPI 1164553848 · NPPES record last updated Jan 31, 2008

Key facts

NPI
1164553848
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2849052401 (UT)
Practice address
4607 Midland Dr
Suit 201
West Haven, UT 84401-9507
Phone
(801) 732-8700
Fax
(801) 732-2103
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2849052401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Quest Therapy & Rehabilitation Clinic, LLC Physical Therapist Past
since Jun 1, 2008
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2849052401 UT Yes

Addresses

Primary practice location

4607 Midland Dr
Suit 201
West Haven, UT 84401-9507

Mailing address

1133 Creek View Dr
Fruit Heights, UT 84037-2665
Phone (801) 597-0522

Other providers in West Haven, UT

All providers in West Haven, UT · Physical Therapist in Utah

Sources for this page

Verify at the official NPI Registry.