Active NPI
Matthew Okelberry, DPT
- Physical Therapist
- Moab, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 450 Williams Way
Moab, UT 84532-2185 - Phone
- (435) 259-3600
- NPI assigned
- Aug 10, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
450 Williams Way
Moab, UT 84532-2185
Mailing address
PO Box 711185
Salt Lake City, UT 84171-1185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10934562-2401 | Other | UT | DOPL PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 E Fort Union Blvd
Suite 2
Salt Lake City, UT 84121-6894
Phone (801) 943-1041
5316 S Woodrow St
Suite 100
Murray, UT 84107-5331
Phone (801) 261-9255
860 N Main St
Suite C
Richfield, UT 84701-1840
Phone (435) 274-3536
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy West LLC | Physical Therapist | Current | Accepting new patients |
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Mountain Land Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Registered Physical Therapists LLC | Current | Accepting new patients | |
| Therapy West Rehab Agency LLC | Past | Accepting new patients |
Locations
1179 W Park Ln
Ste 100
Farmington, UT 84025
Phone (801) 447-9845
355 N Main St
Ste 103
Kanab, UT 84741
Phone (435) 644-4199
450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191
5316 S Woodrow St
Ste 100
Murray, UT 84107
Phone (801) 261-9255
860 N Main St
Ste C
Richfield, UT 84701
Phone (435) 274-3536
1950 E Fort Union Blvd
Ste 2
Salt Lake City, UT 84121
Phone (801) 943-1041
6360 S 3000 E
Ste 125
Salt Lake Cty, UT 84121
Phone (385) 900-5094
9844 S 1300 E
Ste 300
Sandy, UT 84094
Phone (801) 572-0690
649 N Redwood Rd
Ste 115
Saratoga Springs, UT 84045
Phone (801) 766-8808
4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475
1577 W 7000 S
Ste 100
West Jordan, UT 84084
Phone (801) 566-6301
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 and National Provider Directory roles.
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1265549372
-
- Physical Therapy Clinic/Center
- Sandy, UT
- NPI 1477582633
-
- Physical Therapist
- Gunnison, UT
- NPI 1184678070
-
- Critical Access Hospital
- Gunnison, UT
- NPI 1952463036
-
dba Main Street Family Clinic
- Rural Health Clinic/Center
- Manti, UT
- NPI 1063038628
-
- Physical Therapy Clinic/Center
- Gunnison, UT
- NPI 1336684794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1255810123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711185",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841711185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WILLIAMS WAY",
"city": "MOAB",
"state": "UT",
"postal_code": "845322185",
"telephone_number": "435-259-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKELBERRY",
"first_name": "MATTHEW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-10",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOPL PT LICENSE",
"identifier": "10934562-2401",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.