Active NPI
Daniel J McAtee, PA, PT
- Physician Assistant
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 368003-1206
- Practice address
- 1365 W 1000 N
Salt Lake City, UT 84116-1654 - Phone
- (801) 328-5750
- Fax
- (877) 497-4661
- NPI assigned
- Mar 30, 2007
- Last updated
- May 10, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 368003-2401 | UT | |
| Physician Assistant | 363A00000X | 368003-1206 | UT | Primary |
Addresses
Primary practice location
1365 W 1000 N
Salt Lake City, UT 84116-1654
Mailing address
220 W 7200 S
Suite a
Midvale, UT 84047-1043
Phone (801) 858-3461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 368003-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Ma Bo Inc | Family Medicine | Current | Accepting new patients |
| Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Shriners Hospitals for Children | Past | Accepting new patients |
Locations
220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494
466 E 500 S
Ste 200
Salt Lake Cty, UT 84111
Phone (801) 485-5055
1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750
4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214
440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441
1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986
2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACFCAA
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- West Valley City, UT
- NPI 1952505117
Family Medicine
-
dba 72nd Street Medical Clinic
- Federally Qualified Health Center (FQHC)
- Midvale, UT
- NPI 1073611364
Family Medicine
-
dba Ellis R. Ship Medical Clinic
- Federally Qualified Health Center (FQHC)
- West Valley City, UT
- NPI 1326417445
Family Medicine
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1275182487
-
- Pediatric Orthopaedic Surgery Physician
- Shreveport, LA
- NPI 1568803732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1215057617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W 7200 S",
"address_2": "SUITE A",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471043",
"telephone_number": "801-858-3461",
"fax_number": "801-955-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 W 1000 N",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841161654",
"telephone_number": "801-328-5750",
"fax_number": "877-497-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCATEE",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "PA, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "368003-2401",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "368003-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.