Peter R Raether, D.C.
Individual provider Active NPI Chiropractor · Ogden, UT
NPI 1487609368 · NPPES record last updated Dec 28, 2023
Key facts
- NPI
- 1487609368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 12850494-1202 (UT)
- Practice address
- 1920 W 250 N Ste 24
Ogden, UT 84404-4774 - Phone
- (801) 317-4757
- Fax
- (801) 605-3439
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1920 W 250
Suite 24
Ogden, UT 84404-4774
Phone (801) 317-4757
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220816003004 | UT | Practitioner - Chiropractic | 2365454790 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hruby Chiropractic Wellness S.C. | Chiropractor | Current |
Accepting new patients |
| Advanced Injury Rehabilitation, LLC | Chiropractor | Current |
Accepting new patients |
| Raether Chiropractic Office,S.C. | Past | Accepting new patients |
Locations
1920 W 250 N
Ste 24
Ogden, UT 84404
Phone (801) 317-4757
3823 S 108th St
Milwaukee, WI 53228
Phone (414) 327-6400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12850494-1202 | UT | Yes |
Addresses
Primary practice location
1920 W 250 N Ste 24
Ogden, UT 84404-4774
Mailing address
1920 W 250 N Ste 24
Ogden, UT 84404-4774
Phone (801) 317-4757
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.