Individual provider Active NPI

Melanie E Pyle, MPT, MS, ATC

  • Sports Physical Therapist
  • Ogden, UT
National Provider Identifier
1831110980
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
4553567-2401 Issued in UT
Practice address
2801 University Cir
Weber State University
Ogden, UT 84408-2801
Phone
(801) 430-2426
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 4553567-2401 UT Primary

Addresses

Primary practice location

2801 University Cir
Weber State University
Ogden, UT 84408-2801

Mailing address

PO Box 150227
Ogden, UT 84415-0227
Phone (801) 430-2426

Other identifiers 1

IdentifierTypeStateIssuer
4553567-2401OtherUTSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080222000455 UT Practitioner - Physical Therapist in Private Practice 6103900667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fit Quest Therapy and Rehabilitation Clinic LLCGroup PAC ID 8224197819, 4 clinicians

Practice addresses (Care Compare)

3550 Harrison Blvd
Ogden, UT 84403-2081
Phone (801) 476-4141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Quest Physical Therapy of North Ogden Inc PastSince Mar 1, 2020 Accepting new patients
Fit Quest Therapy & Rehabilitation Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831110980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150227",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150227",
            "telephone_number": "801-430-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 UNIVERSITY CIR",
            "address_2": "WEBER STATE UNIVERSITY",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844082801",
            "telephone_number": "801-430-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLE",
        "first_name": "MELANIE",
        "middle_name": "E",
        "credential": "MPT, MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "UT",
            "license": "4553567-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4553567-2401",
            "state": "UT"
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.