Individual provider Active NPI

Paul G Wortley, PT

  • Physical Therapist
  • West Valley City, UT
National Provider Identifier
1417940586
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
110326-2401 Issued in UT
Practice address
3497 W 3500 S
West Valley City, UT 84119-2537
Phone
(801) 417-5017
Fax
(801) 417-5016
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 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 110326-2401 UT Primary

Addresses

Primary practice location

3497 W 3500 S
West Valley City, UT 84119-2537

Mailing address

PO Box 307
Bountiful, UT 84011-0307
Phone (888) 700-6907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, OR, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051119000040 UT Practitioner - Physical Therapist in Private Practice 9931099181 Reassigns benefits to 3 organizations
I20151221002453 OR Practitioner - Physical Therapist in Private Practice 9931099181 Reassigns benefits to 1 organization
I20190923003395 CO Practitioner - Physical Therapist in Private Practice 9931099181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Oregon Physical TherapyGroup PAC ID 8729072350, 3 clinicians
Rocky Mountain Therapy Services South Montrose LLCGroup PAC ID 8022118926, 4 clinicians
Rocky Mountain Therapy ServicesGroup PAC ID 8022143973, 5 clinicians
Rocky Mountain Therapy Services West Jordan LLCGroup PAC ID 6901947563, 3 clinicians

Practice addresses (Care Compare)

1100 Southgate
Suite 15
Pendleton, OR 97801-3971
Phone (541) 276-4011

114 Apollo Rd
Montrose, CO 81401-4857
Phone (970) 249-6920

2965 W 3500
FL 1
West Valley City, UT 84119-3602
Phone (801) 679-0123

8822 S Redwood Rd
Suite E122
West Jordan, UT 84088-9273
Phone (801) 566-7080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Oregon Physical Therapy Physical Therapist CurrentSince Jun 4, 2004 Accepting new patients
Rocky Mountain Therapy Services Physical Therapist CurrentSince Mar 1, 2003 Accepting new patients
Rocky Mountain Therapy Services West Jordan LLC Physical Therapist CurrentSince Nov 1, 2009 Accepting new patients
Rocky Mountain Therapy Services South Montrose LLC Physical Therapist CurrentSince Jul 22, 2019 Accepting new patients
Rocky Mountain Therapy Services CurrentSince Jun 18, 2014 Accepting new patients
Rocky Mountain Therapy Services Physical Therapist PastSince Oct 1, 2006 Accepting new patients
Rocky Mountain Therapy Services Physical Therapist Past Accepting new patients
RMTS Toppenish LLC Physical Therapist PastSince Jul 1, 2013 Accepting new patients
Ben Booher DO LLC PastSince Nov 8, 2015 Accepting new patients

Locations

114 Apollo Rd
Montrose, CO 81401
Phone (970) 249-1646

1100 Southgate
Ste 15
Pendleton, OR 97801
Phone (541) 276-4011

8822 S Redwood Rd
Ste E122
West Jordan, UT 84088
Phone (801) 256-0009

1990 W 7800 S
West Jordan, UT 84088
Phone (801) 256-0009

3725 W 4100 S
West Valley City, UT 84120
Phone (801) 965-3545

3540 S 4000 W
Ste 340
West Valley City, UT 84120
Phone (801) 417-5017

2965 W 3500 S
Fl 1
West Valley City, UT 84119
Phone (801) 679-0123

3497 W 3500 S
West Valley City, UT 84119
Phone (801) 417-5017

Organizations & group practices 9

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1417940586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110307",
            "telephone_number": "888-700-6907",
            "fax_number": "801-294-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3497 W 3500 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192537",
            "telephone_number": "801-417-5017",
            "fax_number": "801-417-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTLEY",
        "first_name": "PAUL",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "110326-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.