NPIMap

Organization Active NPI

Fit Quest Physical Therapy of North Ogden Inc

  • Physical Therapy Clinic/Center
  • North Ogden, UT
National Provider Identifier
1366916470
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FIT QUEST PHYSICAL THERAPY OF NORTH OGDEN INC
Practice address
1638 N Washington Blvd Ste 103
North Ogden, UT 84404-3790
Phone
(801) 782-3500
Fax
(801) 786-1926
NPI assigned
Jan 11, 2019
Last updated
May 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Monte Zundel, MPTNPI 1861597957
Title
Officer
Phone
(801) 782-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1638 N Washington Blvd Ste 103
North Ogden, UT 84404-3790

Mailing address

1638 N Washington Blvd Ste 103
North Ogden, UT 84404-3790
Phone (801) 782-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200501002353 UT Part B Supplier - Clinic/Group Practice 8224469424 Receives reassigned benefits from 1 practitioner
Practice locations: North Ogden, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1366916470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 N WASHINGTON BLVD STE 103",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844043790",
            "telephone_number": "801-782-3500",
            "fax_number": "801-786-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 N WASHINGTON BLVD STE 103",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844043790",
            "telephone_number": "801-782-3500",
            "fax_number": "801-786-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT QUEST PHYSICAL THERAPY OF NORTH OGDEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "ZUNDEL",
        "authorized_official_first_name": "MONTE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "801-782-3500",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.