Individual provider Active NPI

Matthew Okelberry, DPT

  • Physical Therapist
  • Moab, UT
National Provider Identifier
1255810123
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Aug 10, 2018

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 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

IdentifierTypeStateIssuer
10934562-2401OtherUTDOPL PT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810004285 UT Practitioner - Physical Therapist in Private Practice 3173985918 Reassigns benefits to 5 organizations

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
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians
Registered Physical Therapists IncGroup PAC ID 9537151733, 64 clinicians
Therapy West IncGroup PAC ID 8921098567, 16 clinicians

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

OrganizationSpecialtyStatusNew patients
Therapy West LLC Physical Therapist CurrentSince Aug 2, 2023 Accepting new patients
Gunnison Valley Hospital CurrentSince Apr 1, 2025 Accepting new patients
Gunnison Valley Hospital CurrentSince Apr 1, 2025 Accepting new patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Aug 2, 2023 Accepting new patients
Registered Physical Therapists LLC CurrentSince Dec 12, 2024 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.

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.

Verify at the official NPI Registry.