Michael Craig Mumford, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7396457-2401 Issued in UT

Practice address

1805 E 1730 N
North Logan, UT 84341-2184

Phone

(435) 752-3544

NPI assigned

Apr 27, 2010

Last updated

Apr 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunshine Terrace Foundation, IncGroup PAC ID 2668415860, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunshine Terrace Foundation, Inc

  dba Sunshine Terrace Outpatient Therapy

  • Physical Therapist
  • Logan, UT
  • NPI 1306000856
  Medicare reassignment Care Compare group NPD
• Sunshine Terrace Foundation, Inc

  dba Sunshine Hospice

  • Community Based Hospice Care Agency
  • Logan, UT
  • NPI 1326336892
  NPD

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1285951467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 E 1730 N",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843412184",
            "telephone_number": "435-752-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E 1730 N",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843412184",
            "telephone_number": "435-752-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMFORD",
        "first_name": "MICHAEL",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "7396457-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Warburton Miller, MD
• Christopher James Morgan, DNP, FNP-C
• Mountain Division - CVH, LLC (Physical Therapy at Cache Valley Hospital)
• Mountain Division - CVH, LLC (Cache Valley Hospital)
• Shane Mozingo
• Josh Robert Novak, LMFT
• Erin Bagley Oberg, PA-C
• Heather Elizabeth Olsen, LCSW
• Ray Brock Olson, PA
• Eric Parker

• Physical Therapist in North Logan, UT
• Providers in North Logan, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.