Active NPI
Matthew J Weber, DPT
- Physical Therapist
- Salt Lake City, UT
National Provider Identifier
1619450475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9467244-2401
- Practice address
- 1153 East 3900 South
Salt Lake City, UT 84124-1201 - Phone
- (801) 262-6331
- Fax
- (801) 262-3372
- NPI assigned
- Sep 7, 2018
- Reactivated
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9467244-2401 | UT | Primary |
| Athletic Trainer | 2255A2300X | 9467244-4801 | UT |
Addresses
Primary practice location
1153 East 3900 South
Salt Lake City, UT 84124-1201
Mailing address
PO Box 711185
Salt Lake City, UT 84171-1185
Phone (801) 262-6331
Other practice location 1
2701 University Circle
Ogden, UT 84408-0001
Phone (801) 626-7712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4253445 | Medicaid | UT |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9467244-2401 | UT | MD | Physical Therapist |
| 9467244-4801 | UT | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arch Health Partners, Inc | Past | Accepting new patients | |
| Sundance Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Ogden, UT
- NPI 1932265758
-
- Family Medicine Physician
- Poway, CA
- NPI 1649500141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1619450475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711185",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841711185",
"telephone_number": "801-262-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1153 EAST 3900 SOUTH",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241201",
"telephone_number": "801-262-6331",
"fax_number": "801-262-3372"
}
],
"practiceLocations": [
{
"address_1": "2701 University Circle",
"address_purpose": "LOCATION",
"city": "Ogden",
"state": "UT",
"postal_code": "844080001",
"country_code": "US",
"telephone_number": "801-626-7712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBER",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-07",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"deactivation_date": "2020-02-25",
"reactivation_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "9467244-2401",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "9467244-4801",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4253445",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.