Michelle Anumba, PT
Individual provider Active NPI Physical Therapist · Salt Lake City, UT
NPI 1669971974 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1669971974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13423904-2401 (UT)
- Practice address
- 1420 500 W
Salt Lake City, UT 84115 - Phone
- (909) 262-4854
- NPI assigned
- Feb 2, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3985 | NV | MD | Pulmonary Disease Physician |
| 13423904-2401 | UT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 13423904-2401 | UT | Yes |
| Physical Therapist | 225100000X | 3985 | NV |
Addresses
Primary practice location
1420 500 W
Salt Lake City, UT 84115
Mailing address
5663 W Red Ridge LN
Salt Lake City, UT 84118-5004
Other providers in Salt Lake City, UT
- James Antinori
- Loupel Superficial Antiquiera
- Margaret Antiquiera
- Marja E Anton
- Anisha Antony
- Shumaila Anwer
- Walter R Anyan
- Yoshimi Anzai
- Nicholas Alexander Anzalone
- Alan N Aoki
All providers in Salt Lake City, 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 Aug 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.