Moserti LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOSERTI LLC

Doing business as

PeakRestore Wellness

Practice address

169 N Gateway Dr Ste 130
Providence, UT 84332-9737

Phone

(435) 227-5371

Fax

(385) 900-1612

NPI assigned

Jan 6, 2025

Last updated

Jan 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Michael Hill, PA-CNPI 1386248292

Title

Ceo, Owner

Phone

(435) 227-5371

Specialties & licenses 2

Addresses

Other names 1

• PeakRestore Wellness Doing business as

Practitioners 1

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.

• Matthew Michael Hill, PA-C

  • Physician Assistant
  • Logan, UT
  • NPI 1386248292

  Family Medicine

  NPD Authorized official

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1457160376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 S 225 W # A102",
            "city": "NIBLEY",
            "state": "UT",
            "postal_code": "843217067",
            "telephone_number": "385-222-8368",
            "fax_number": "385-900-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 N GATEWAY DR STE 130",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329737",
            "telephone_number": "435-227-5371",
            "fax_number": "385-900-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSERTI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "435-227-5371",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PeakRestore Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PeakRestore Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Providence, UT
• Providers in Providence, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.