Individual provider Active NPI

Michelle Ann Burton, MPT

  • Pediatric Physical Therapist
  • Moab, UT
National Provider Identifier
1457329401
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
7655429-2401 Issued in UT
Practice address
1105 S Highway 191 Ste 1
Moab, UT 84532-3011
Phone
(435) 259-1114
Fax
(435) 259-1133
NPI assigned
Mar 8, 2006
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 7655429-2401 UT Primary

Addresses

Primary practice location

1105 S Highway 191 Ste 1
Moab, UT 84532-3011

Mailing address

PO Box 914
Moab, UT 84532-0914
Phone (435) 259-1114

Other names 1

  • Michelle Ann Patterson Former name

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

LicenseStateTypeSpecialty
7655429-2401UTMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics & Sports Medicine LLC Physical Therapist Past Accepting new patients
New Century Rehabilitation LLC Physical Therapist Past Accepting new patients
Orthopedics & Sports Medicine LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1457329401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 914",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845320914",
            "telephone_number": "435-259-1114",
            "fax_number": "435-259-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S HIGHWAY 191 STE 1",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845323011",
            "telephone_number": "435-259-1114",
            "fax_number": "435-259-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "UT",
            "license": "7655429-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PATTERSON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moab, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.