Keith Jay Ludwig, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

275693-2401 Issued in UT

Practice address

3725 W 4100 S
West Valley City, UT 84120-5530

Phone

(801) 965-3545

Fax

(801) 965-3518

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

College of Osteo Med of the Pacific at Pomona, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain Therapy ServicesGroup PAC ID 8022143973, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rocky Mountain Therapy Services

  • Sports Physical Therapist
  • West Valley City, UT
  • NPI 1952637167
  Medicare reassignment Care Compare group NPD
• Rocky Mountain Therapy Services

  • Physical Therapist
  • West Valley City, UT
  • NPI 1306864863
  Medicare reassignment NPD
• Rocky Mountain Therapy Services West Jordan LLC

  • Physical Therapist
  • West Jordan, UT
  • NPI 1013140011
  Medicare reassignment NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1447323647",
    "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": "801-294-6907",
            "fax_number": "801-294-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 W 4100 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205530",
            "telephone_number": "801-965-3545",
            "fax_number": "801-965-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "KEITH",
        "middle_name": "JAY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "275693-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Jesse Angle Lopez, M.A, CMHC
• Lotus Homehealth LLC
• Lotus Hospice LLC
• Love 2 Learn ABA of Utah, LLC
• Nicholas Lowe
• Antonio Lumbreras-Pimentel
• Dallin Lund, ATC, EMT
• Trace W Lund
• Bryan William Lundberg, PA-C
• Michael Lundin, RN

• Physical Therapist in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.