David L Wetzel, RPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

22-106687-2401 Issued in UT

Practice address

12403 S Doreen Dr
Riverton, UT 84065-4360

Phone

(801) 448-1770

Fax

(801) 877-5356

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• David L Wetzel LLC

  dba In Home Physical Therapy

  • Physical Therapist
  • Riverton, UT
  • NPI 1790212777
  Medicare reassignment NPD Authorized official
• Balance for Life Center LLC

  • Otolaryngology Physician
  • Murray, UT
  • NPI 1295992477
  NPD (past)
• Brian J. Rodriguez, PT, PC

  dba Utah Physical Therapy Specialists

  • Physical Therapist
  • Murray, UT
  • NPI 1225219991
  NPD (past)
• Excel Rehab Therapy LLC

  • Physical Therapist
  • Draper, UT
  • NPI 1477877744
  NPD (past)
• Jordan Valley Physical Therapy LLC

  • Physical Therapist
  • West Jordan, UT
  • NPI 1235157793
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1306840129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12403 S DOREEN DR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840654360",
            "telephone_number": "801-448-1770",
            "fax_number": "801-877-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12403 S DOREEN DR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840654360",
            "telephone_number": "801-448-1770",
            "fax_number": "801-877-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "22-106687-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "870357748",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP ID",
            "identifier": "3109",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID",
            "identifier": "001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS ID",
            "identifier": "QMXAF",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC ID",
            "identifier": "107009210101",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayleigh Wendel
• Sadie M West, M.D.
• Western Gynecological and Obstetrical Clinic, Inc.
• Jeffrey Western, OD
• Katherine Douglas Westmoreland, M.D.
• Jonathan Taylor Whitaker, D.O.
• Bethanie Rosella White, M.D.
• Lisa Roberts White, PT
• Denalee Wilkinson
• Heather Wilkinson, RN, CFRN

• Specialist in Riverton, UT
• Providers in Riverton, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.