Joshua Mortensen
Individual provider Active NPI Physical Therapist · Gunnison, UT
NPI 1760239883 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1760239883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13939185-8016 (UT)
- Practice address
- 13 E Center St.
Gunnison, UT 84643 - Phone
- (435) 274-3532
- NPI assigned
- May 6, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therapy West Inc
Practice addresses (Care Compare)
13 E Ctr St
Gunnison, UT 84634
Phone (435) 274-3532
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240628003799 | UT | Practitioner - Physical Therapist in Private Practice | 8224572383 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13939185-8016 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy West LLC | Physical Therapist | Current |
Accepting new patients |
| Therapy West Rehab Agency LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13939185-8016 | UT | Yes |
Addresses
Primary practice location
13 E Center St.
Gunnison, UT 84643
Mailing address
PO Box 711185
Salt Lake City, UT 84171-1185
Phone (435) 274-3532
Other providers in Gunnison, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.