Individual provider Active NPI

William G Sumsion, PT

  • Physical Therapist
  • Orem, UT
National Provider Identifier
1659367845
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
120473-2401 Issued in UT
Practice address
684 W 800 N
#110
Orem, UT 84057-3658
Phone
(801) 224-2250
Fax
(801) 224-2655
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 120473-2401 UT Primary

Addresses

Primary practice location

684 W 800 N
#110
Orem, UT 84057-3658

Mailing address

380 E 400 S
Springville, UT 84663-1958
Phone (801) 489-5669

Other identifiers 6

IdentifierTypeStateIssuer
870518224SU2OtherUTEMIA
27766OtherUTPEHP
3371410003OtherUTCIGNA
4549223OtherUTAETNA
107009324104OtherUTSELECT HEALTH (IHC)
216067OtherUTDMBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060202000242 UT Practitioner - Physical Therapist in Private Practice 4183616469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Baylor College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

684 W 800
Suite 110
Orem, UT 84057-3658
Phone (801) 224-2250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical & Sports Therapy Services, LLC Physical Therapist CurrentSince Apr 1, 1994 Accepting new patients
Physical & Sports Therapy Services, LLC CurrentSince Apr 1, 1994 Accepting new patients

Locations

684 W 800 N
#110
Orem, UT 84057
Phone (801) 224-2250

380 E 400 S
Springville, UT 84663
Phone (801) 472-4657

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.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1659367845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 400 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631958",
            "telephone_number": "801-489-5669",
            "fax_number": "801-489-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 W 800 N",
            "address_2": "#110",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573658",
            "telephone_number": "801-224-2250",
            "fax_number": "801-224-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMSION",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "120473-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMIA",
            "identifier": "870518224SU2",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "27766",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3371410003",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4549223",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH (IHC)",
            "identifier": "107009324104",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "216067",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.