Matthew Chaus
Individual provider Active NPI Physical Therapist · Holladay, UT
NPI 1811577406 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1811577406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11890555-2401 (UT)
- Practice address
- 2040 E Murray Holladay Rd Ste 205
Holladay, UT 84117-5197 - Phone
- (801) 274-0299
- NPI assigned
- Apr 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Home Health and Hospice LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11890555-2401 | UT | Yes |
Addresses
Primary practice location
2040 E Murray Holladay Rd Ste 205
Holladay, UT 84117-5197
Mailing address
8835 S 1595 E
Sandy, UT 84093-1501
Other providers in Holladay, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2021. 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.