Individual provider Active NPI

Daniel J McAtee, PA, PT

  • Physician Assistant
  • Salt Lake City, UT
National Provider Identifier
1215057617
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
368003-1206 Issued in UT
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180212002212 UT Practitioner - Physician Assistant 6608960323 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
368003-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc. Family Medicine Current Accepting new patients
Ma Bo Inc Family Medicine CurrentSince May 5, 2018 Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Jan 9, 2018 Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Jan 9, 2018 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.