Michael Ameye, DPT
Individual provider Active NPI Physical Therapist · Ogden, UT
NPI 1821740069 · NPPES record last updated Jan 19, 2022
Key facts
- NPI
- 1821740069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12619503-2401 (UT)
- Practice address
- 3895 Harrison Blvd
Ogden, UT 84403-2312 - Phone
- (801) 387-3600
- NPI assigned
- Jan 19, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
3895 Harrison Blvd
Ogden, UT 84403-2312
Phone (801) 387-7678
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231023000894 | UT | Practitioner - Physical Therapist in Private Practice | 3476909847 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Physical Therapist | Current |
Accepting new patients |
| Ihc Health Services, Inc. | Current |
Accepting new patients |
Locations
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12619503-2401 | UT | Yes |
Addresses
Primary practice location
3895 Harrison Blvd
Ogden, UT 84403-2312
Mailing address
673 N 400 W Apt 3
Kaysville, UT 84037-1192
Phone (586) 604-0059
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12619503-2401 | Other | UT | PT LICENSE |
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2022. 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.