Active NPI
Walker J Riley
- Physical Therapist
- Logan, UT
National Provider Identifier
1669368742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14223860-2401
- Practice address
- 258 S Main St Ste 210
Logan, UT 84321-5768 - Phone
- (435) 383-6120
- Fax
- (435) 557-8003
- NPI assigned
- Jun 16, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14223860-2401 | UT | Primary |
Addresses
Primary practice location
258 S Main St Ste 210
Logan, UT 84321-5768
Mailing address
PO Box 4682
Logan, UT 84323-4682
Phone (435) 514-5646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14223860-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Medical Utah LLC | Current | Accepting new patients |
Locations
258 S Main St
Ste 210
Logan, UT 84321
Phone (435) 383-6120
560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600
Organizations & group practices 1
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": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1669368742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4682",
"city": "LOGAN",
"state": "UT",
"postal_code": "843234682",
"telephone_number": "435-514-5646",
"fax_number": "435-774-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 S MAIN ST STE 210",
"city": "LOGAN",
"state": "UT",
"postal_code": "843215768",
"telephone_number": "435-383-6120",
"fax_number": "435-557-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "WALKER",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-16",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "14223860-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.