Individual provider Active NPI

Michael Taylor Flitton, DPT

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1356485239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
345023-2401 Issued in UT
Practice address
50 N Medical Dr
Burn Therapy
Salt Lake City, UT 84132-0001
Phone
(801) 581-2132
Fax
(801) 585-3087
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 345023-2401 UT Primary

Addresses

Primary practice location

50 N Medical Dr
Burn Therapy
Salt Lake City, UT 84132-0001

Mailing address

50 N Medical Dr
Burn Therapy
Salt Lake City, UT 84132-0001
Phone (801) 581-2132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521002808 UT Practitioner - Physical Therapist in Private Practice 6901248020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Luna Care Physical Therapy LLCGroup PAC ID 4880089275, 7 clinicians

Practice addresses (Care Compare)

Salt Lake City, UT 84101
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
345023-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 25, 2024 Accepting new patients

Locations

159 W Broadway
Ste 200
Salt Lake City, UT 84101
Phone (404) 408-5442

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356485239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N MEDICAL DR",
            "address_2": "BURN THERAPY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-2132",
            "fax_number": "801-585-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MEDICAL DR",
            "address_2": "BURN THERAPY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-2132",
            "fax_number": "801-585-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLITTON",
        "first_name": "MICHAEL",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "345023-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.