Individual provider Active NPI

Nathan Walker

  • Orthopedic Physical Therapist
  • Ogden, UT
National Provider Identifier
1396561668
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
349 12TH St
Ogden, UT 84404-5712
Phone
(801) 782-0300
NPI assigned
Dec 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

349 12TH St
Ogden, UT 84404-5712

Mailing address

116 W Alta View Dr
Midvale, UT 84047-7435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250819004668 UT Practitioner - Physical Therapist in Private Practice 1850890484 Reassigns benefits to 1 organization
I20260626003531 ID Practitioner - Physical Therapist in Private Practice 1850890484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

Practice addresses (Care Compare)

433 W 12TH St
Ogden, UT 84404-5506
Phone (801) 782-0300

5251 E Exchange Way
Nampa, ID 83687-5507
Phone (208) 466-9642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Orthopedic CurrentSince May 26, 2025 Accepting new patients

Locations

5251 E Exchange Way
Nampa, ID 83687
Phone (208) 466-9642

74 E 500 S
Ste 104
Bountiful, UT 84010
Phone (801) 292-5011

1179 W Park Ln
Ste 100
Farmington, UT 84025
Phone (801) 447-9845

433 W 12th St
Ogden, UT 84404
Phone (801) 782-0300

349 12th St
Ogden, UT 84404
Phone (801) 393-0900

1562 S 3000 W
Ste 150
Syracuse, UT 84075
Phone (801) 825-7500

4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475

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": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1396561668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W ALTA VIEW DR",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840477435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 12TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844045712",
            "telephone_number": "801-782-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.