Organization Active NPI

Michelle Pepper MD PC

  • Rehabilitation Clinic/Center
  • Ogden, UT
National Provider Identifier
1750977237
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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

Updated by the provider on Jun 18, 2025

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)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20210113000196 UT Part B Supplier - Clinic/Group Practice 9931512944 Receives reassigned benefits from 1 practitioner
Practice locations: Ogden, UT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.