Steven Hadley, DPT
Individual provider Active NPI Physical Therapist · West Point, UT
NPI 1669069753 · NPPES record last updated Dec 23, 2020
Key facts
- NPI
- 1669069753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 8929542-2401 (UT)
- Practice address
- 3024 W 300 N Ste B
West Point, UT 84015-7259 - Phone
- (801) 825-7500
- NPI assigned
- Dec 23, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain Land Rehabilitation LLC
Practice addresses (Care Compare)
12197 S Draper Gate Dr
Suite B
Draper, UT 84020-8078
Phone (801) 523-3415
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230807001911 | UT | Practitioner - Physical Therapist in Private Practice | 8022479047 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8929542-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Land Rehabilitation LLC | Physical Therapist | Current |
Accepting new patients |
Locations
12197 S Draper Gate Dr
#B
Draper, UT 84020
Phone (801) 523-3415
4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475
3024 W 300 N
Ste B
West Point, UT 84015
Phone (801) 825-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8929542-2401 | UT | Yes |
Addresses
Primary practice location
3024 W 300 N Ste B
West Point, UT 84015-7259
Mailing address
PO Box 711185
Salt Lake City, UT 84171-1185
Other providers in West Point, UT
- Bryce Kenneth Galbraith
- Hilorie Edwards Garside
- Gaylene Godfrey
- Megan Grayson
- Mindi Haddock
- Jacob F Hammons
- Britney Jean Hansen
- Clara Hawkes
- Tyne Hiatt
- Angela Hronek
All providers in West Point, UT · Physical Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2020. 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.