Individual provider Active NPI

Campbell Hofstetter

  • Physical Therapist
  • Orem, UT
National Provider Identifier
1215710256
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13527537-2401 Issued in UT
Practice address
527 W 400 N Ste 6
Orem, UT 84057-1951
Phone
(801) 714-3366
Fax
(801) 714-3227
NPI assigned
Aug 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 13527537-2401 UT Primary

Addresses

Primary practice location

527 W 400 N Ste 6
Orem, UT 84057-1951

Mailing address

PO Box 25537
Salt Lake City, UT 84125-0537

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220003263 UT Practitioner - Physical Therapist in Private Practice 6305280181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1157 N 300
Suite 211
Provo, UT 84604-6124
Phone (801) 357-1250

383 W Vine St
Suite 400
Murray, UT 84123-4745
Phone (801) 507-8003

395 W Cougar Blvd
Suite 804
Provo, UT 84604-3311
Phone (801) 357-0820

5171 S Cottonwood St
Suite 900
Murray, UT 84107-5704
Phone (801) 507-2050

854 S Turf Farm Rd
Unit 1
Payson, UT 84651-5733
Phone (801) 357-2860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Physical Therapist CurrentSince Jan 7, 2024 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 7, 2024 Accepting new patients

Locations

412 W 800 N
Orem, UT 84057
Phone (801) 235-7246

527 W 400 N
Ste 6
Orem, UT 84057
Phone (801) 318-8081

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

765 E Market Place Dr
Spanish Fork, UT 84660
Phone (385) 344-5000

Organizations & group practices 2

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1215710256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25537",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W 400 N STE 6",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571951",
            "telephone_number": "801-714-3366",
            "fax_number": "801-714-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFSTETTER",
        "first_name": "CAMPBELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13527537-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.