Courtney J Ivory, DPT

Key facts

NPI

1306234828

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

9248686-8016 (UT)

Practice address

75 N 2260 W
Hurricane, UT 84737-2034

Phone

(435) 635-6480

NPI assigned

Jan 6, 2015

Sex

Male

Sole proprietor

No

Organizations & group practices 4

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.

• Ihc Health Services Inc Rehabilitation Clinic/Center · Salt Lake City, UT · NPI 1033822085
  Medicare reassignment NPD PHYSICAL THERAPIST · UT
• Ihc Health Services Inc Multi-Specialty Clinic/Center · Sandy, UT · NPI 1942325154
  Medicare reassignment NPD UT
• Ihc Health Services Inc Obstetrics & Gynecology Physician · Sandy, UT · NPI 1992835268
  NPD
• Ihc Health Services, Inc. Psychiatry Physician · St George, UT · NPI 1023843844
  NPD

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihc Health Services Inc (3,948 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in UT

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 6, 2015.

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1306234828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N 2260 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847372034",
            "telephone_number": "435-635-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N 2260 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847372034",
            "telephone_number": "435-635-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVORY",
        "first_name": "COURTNEY",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "9248686-8016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, UT

• Indiemed LLC
• Samuel Isaac Inouye, MD
• Intermountain
• Robert Ipp, RN
• Desiree Irvine, DEM
• Paul Jackman, MA, AMFT
• Taylor Jacobson
• Susan Diana Jaeger, LPC
• Kevin D. Jenkins, D.C.
• Amanda Melanie Jocelyn, APRN-BC

All providers in Hurricane, UT · Physical Therapist in Utah