Active NPI
Monica Walburn, DPT
- Orthopedic Physical Therapist
- South Jordan, UT
National Provider Identifier
1417547415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- CP042509T
- Practice address
- 11531 S District Dr Ste 1200
South Jordan, UT 84095-5782 - Phone
- (801) 260-3100
- Fax
- (801) 260-3101
- NPI assigned
- Jan 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 28244 | MD | |
| Orthopedic Physical Therapist | 2251X0800X | 15289 | TN | |
| Orthopedic Physical Therapist | 2251X0800X | CP042509T | UT | Primary |
Addresses
Primary practice location
11531 S District Dr Ste 1200
South Jordan, UT 84095-5782
Mailing address
6353 W Sunrise Field Dr
South Jordan, UT 84009-1363
Other names 1
- Monica Ziebart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28244 | MD | MD | Orthopedic Physical Therapist |
| CP042509T | UT | MD | Orthopedic Physical Therapist |
| 15289 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group PC | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery Physician
- Southaven, MS
- NPI 1912303447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1417547415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6353 W SUNRISE FIELD DR",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840091363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11531 S DISTRICT DR STE 1200",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840955782",
"telephone_number": "801-260-3100",
"fax_number": "801-260-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALBURN",
"first_name": "MONICA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-22",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "28244",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TN",
"license": "15289",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "UT",
"license": "CP042509T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "ZIEBART",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.