Active NPI
Claire Matzke
- Physical Therapist
- Draper, UT
National Provider Identifier
1841728797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 70.023172
- Practice address
- 13937 S Sprague LN Ste 100
Draper, UT 84020-7864 - Phone
- (385) 308-8034
- NPI assigned
- May 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 204828 | AK | |
| Physical Therapist | 225100000X | 014073 | CT | |
| Physical Therapist | 225100000X | 040.0134606 | VT | |
| Physical Therapist | 225100000X | 70.023172 | IL | Primary |
| Physical Therapist | 225100000X | PT6443 | ME | |
| Physical Therapist | 225100000X | 05015101A | IN | |
| Physical Therapist | 225100000X | 26755 | MA | |
| Physical Therapist | 225100000X | 304117 | CA | |
| Physical Therapist | 225100000X | TPPT279 | FL | |
| Physical Therapist | 225100000X | PT-8569 | ID | |
| Physical Therapist | 225100000X | 56791 | AL | |
| Physical Therapist | 225100000X | 11-07412 | KS | |
| Physical Therapist | 225100000X | 5501302560 | MI | |
| Physical Therapist | 225100000X | 40QA02164600 | NJ | |
| Physical Therapist | 225100000X | 050251-01 | NY |
Addresses
Primary practice location
13937 S Sprague LN Ste 100
Draper, UT 84020-7864
Mailing address
13937 S Sprague LN Ste 100
Draper, UT 84020-7864
Phone (385) 308-8034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204828 | AK | MD | Physical Therapist |
| 56791 | AL | MD | Physical Therapist |
| 304117 | CA | MD | Physical Therapist |
| 014073 | CT | MD | Physical Therapist |
| TPPT279 | FL | MD | Physical Therapist |
| PT-8569 | ID | MD | Physical Therapist |
| 70.023172 | IL | MD | Physical Therapist |
| 05015101A | IN | MD | Physical Therapist |
| 11-07412 | KS | MD | Physical Therapist |
| 26755 | MA | MD | Physical Therapist |
| PT6443 | ME | MD | Physical Therapist |
| 5501302560 | MI | MD | Physical Therapist |
| 40QA02164600 | NJ | MD | Physical Therapist |
| 050251-01 | NY | MD | Physical Therapist |
| 040.0134606 | VT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1841728797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13937 S SPRAGUE LN STE 100",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207864",
"telephone_number": "385-308-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13937 S SPRAGUE LN STE 100",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207864",
"telephone_number": "385-308-8034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATZKE",
"first_name": "CLAIRE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-23",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "204828",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "014073",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040.0134606",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "70.023172",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT6443",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05015101A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "26755",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "304117",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "TPPT279",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-8569",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "56791",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-07412",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501302560",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02164600",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "050251-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.