Active NPI
Michelle Pepper MD PC
- Rehabilitation Clinic/Center
- Ogden, UT
National Provider Identifier
1750977237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- MICHELLE PEPPER MD PC
- Practice address
- 6112 S 1550 E Ste 202
Ogden, UT 84405-5608 - Phone
- (385) 432-3240
- Fax
- (385) 238-4887
- NPI assigned
- Dec 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cammy Bybee
- Title
- Practice Administrator
- Phone
- (385) 432-3240
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
6112 S 1550 E Ste 202
Ogden, UT 84405-5608
Mailing address
6112 S 1550 E Ste 202
Ogden, UT 84405-5608
Phone (385) 432-3240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 W Layton Pkwy
Ste 400
Layton, UT 84041
Phone 8012957200116
6112 S Harrison
South Ogden, UT 84405
Phone (801) 475-3800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Ogden, UT
- NPI 1295881811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1750977237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6112 S 1550 E STE 202",
"city": "OGDEN",
"state": "UT",
"postal_code": "844055608",
"telephone_number": "385-432-3240",
"fax_number": "716-333-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6112 S 1550 E STE 202",
"city": "OGDEN",
"state": "UT",
"postal_code": "844055608",
"telephone_number": "385-432-3240",
"fax_number": "385-238-4887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE PEPPER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-18",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A",
"authorized_official_last_name": "BYBEE",
"authorized_official_first_name": "CAMMY",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "385-432-3240"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.