Burke D Maughan, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

317074-2401 Issued in UT

Practice address

5957 Fashion Point Dr Ste 102
Ogden, UT 84403-5180

Phone

(801) 827-0200

Fax

(801) 827-0201

NPI assigned

Jul 12, 2006

Last updated

Aug 11, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

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.

• Utah Physical Therapy, Inc.

  dba Spine and Sports

  • Physical Therapist
  • West Haven, UT
  • NPI 1487998431
  Medicare reassignment NPD
• CNS Professional Services

  dba CNS Professional Care

  • Primary Care Nurse Practitioner
  • West Valley City, UT
  • NPI 1508248964
  Medicare reassignment
• Total Rehab, Inc.

  • Physical Therapist
  • Brigham City, UT
  • NPI 1801079439
  NPD
• KFDD Physical Therapy & Sports Medicine Clinic

  dba Sports Medicine Clinic

  • Physical Therapist
  • Ogden, UT
  • NPI 1013028505
  NPD (past)
• Farnsworth Orthopedic Physical Therapy, LLC

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1801955455
  NPD (past)
• Massif Holding Company LLC

  dba Maughan Physical Therapy

  • Physical Therapy Clinic/Center
  • Mesa, AZ
  • NPI 1609065192
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1306861315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "HOOPER",
            "state": "UT",
            "postal_code": "843150066",
            "telephone_number": "801-689-0200",
            "fax_number": "801-689-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 FASHION POINT DR STE 102",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035180",
            "telephone_number": "801-827-0200",
            "fax_number": "801-827-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 S Redwood Rd.",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "84119",
            "country_code": "US",
            "telephone_number": "801-639-5454",
            "fax_number": "801-233-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUGHAN",
        "first_name": "BURKE",
        "middle_name": "D",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "317074-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keigo Matsuyama
• Camron Jackson Matthews
• Logan Matthews
• Thomas Matthews, D.M.D
• Carl Anthony Mattsson, MD
• Julie Anne Maughan, MD
• Page Maughan
• Samuel S May
• Gregory L. Mayer, PHD
• Tracy Mayer, RN, MSN, FNP STUDENT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.