Alma Knudsen, DPT
Individual provider Active NPI Physical Therapist · Tremonton, UT
NPI 1235861964 · NPPES record last updated Jun 7, 2023
Key facts
- NPI
- 1235861964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11405499-2401 (UT)
- Practice address
- 905 N 1000 W
Tremonton, UT 84337-9356 - Phone
- (435) 207-4500
- NPI assigned
- Jun 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
905 N 1000
Tremonton, UT 84337-9356
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231107001643 | UT | Practitioner - Physical Therapist in Private Practice | 3870940281 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114054992401 | UT | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Physical Therapist | Current |
Accepting new patients |
Locations
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
905 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11405499-2401 | UT | Yes |
| Physical Therapy Clinic/Center | 261QP2000X | 114054992401 | UT |
Addresses
Primary practice location
905 N 1000 W
Tremonton, UT 84337-9356
Mailing address
319 N 600 E
Brigham City, UT 84302-1932
Phone (801) 362-1588
Other providers in Tremonton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.