Active NPI
Michael C Smith, MPT, CSCS
- Physical Therapist
- Kaysville, UT
National Provider Identifier
1730286766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3578042401
- Practice address
- 275 N 300 W Ste 403
Kaysville, UT 84037-1880 - Phone
- (801) 546-6868
- NPI assigned
- Sep 20, 2006
- 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 | 3578042401 | UT | Primary |
Addresses
Primary practice location
275 N 300 W Ste 403
Kaysville, UT 84037-1880
Mailing address
1243 Larchmont Way
Layton, UT 84041-8130
Phone (801) 444-9558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 N 300
Suite 103
Kaysville, UT 84037-1815
Phone (801) 546-6868
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3578042401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fit Quest Therapy & Rehabilitation Inc | Past | Accepting new patients | |
| Fit Quest Physical Therapy of North Ogden Inc | Past | Accepting new patients |
Organizations & group practices 3
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
- Kaysville, UT
- NPI 1558511451
-
- Physical Therapy Clinic/Center
- North Ogden, UT
- NPI 1366916470
-
dba fitquesttherapy
- Orthopedic Physical Therapist
- North Ogden, UT
- NPI 1902946379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730286766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 LARCHMONT WAY",
"city": "LAYTON",
"state": "UT",
"postal_code": "840418130",
"telephone_number": "801-444-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 N 300 W STE 403",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840371880",
"telephone_number": "801-546-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MICHAEL",
"middle_name": "C",
"credential": "MPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "3578042401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaysville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.