Delta Physical Therapy and Sports Medicine PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DELTA PHYSICAL THERAPY AND SPORTS MEDICINE PC

Doing business as

Fillmore Physical Therapy

Practice address

770 S Highway 99
Suite a
Fillmore, UT 84631

Phone

(435) 743-6100

Fax

(435) 743-6161

NPI assigned

Aug 20, 2007

Last updated

Dec 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Howard Quackenbush, D.P.T.

Title

President

Phone

(435) 864-2551

Specialties & licenses 2

Addresses

Other names 1

• Fillmore Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Delta Physical Therapy and Sports

  • Physical Therapist
  • Delta, UT
  • NPI 1801834700

  O20040117000230

  Same enrollment

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie Christensen, PTA

  • Physical Therapy Assistant
  • Delta, UT
  • NPI 1932950813
  NPD
• Dustin Kunz

  • Physical Therapist
  • Delta, UT
  • NPI 1235779224
  NPD
• Louis Howard Quackenbush II, D.P.T.

  • Physical Therapist
  • Delta, UT
  • NPI 1487780003
  NPD
• Madison Splan

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1760884266
  NPD
• Randy Dale Stinson, D.P.T.

  • Physical Therapist
  • Delta, UT
  • NPI 1669788725
  NPD
• Andrew Wankier, PT, DPT

  • Physical Therapist
  • Delta, UT
  • NPI 1235634569
  NPD
• Forrest Dean Hammeren

  • Occupational Therapist
  • Emmett, ID
  • NPI 1063756443
  NPD
• Mitchel Scott Anderson, O.T.D.

  • Occupational Therapist
  • Delta, UT
  • NPI 1477689016
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1275726788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WHITE SAGE AVE STE C",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846245555",
            "telephone_number": "435-864-2551",
            "fax_number": "435-864-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 S HIGHWAY 99",
            "address_2": "SUITE A",
            "city": "FILLMORE",
            "state": "UT",
            "postal_code": "84631",
            "telephone_number": "435-743-6100",
            "fax_number": "435-743-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA PHYSICAL THERAPY AND SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "QUACKENBUSH",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-864-2551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fillmore Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fillmore Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Lloyd Call, LMFT
• Central Utah Mental Health Substance Abuse (Central Utah Counseling Center)
• Melvin Raun Child, P.A.
• Macady Chlarson
• County of Millard (Millard County Ambulance)
• Ellsworth Foot and Ankle
• Craig M. Grose, M.D.
• Shane Harrison, CRNA
• Robbi K Harvey, NP-C
• Brian Joseph Huber, DNP, FNP

• Physical Therapist in Fillmore, UT
• Providers in Fillmore, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.