Dan Ivie, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0313197-2401 Issued in UT

Practice address

597 Parkway Dr. Ste C
Park City, UT 84098

Phone

(435) 649-7335

Fax

(435) 649-7568

NPI assigned

Aug 22, 2005

Last updated

Sep 21, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wasatch Physical Therapy CoGroup PAC ID 1759489636, 3 clinicians

Wasatch Physical Therapy and Sports Medicine at Park CityGroup PAC ID 4183627904, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Wasatch Physical Therapy & Sports Medicine at Park City

  • Physical Therapist
  • Park City, UT
  • NPI 1730194507
  Medicare reassignment Care Compare group NPD Authorized official
• Wasatch Physical Therapy Co

  • Physical Therapist
  • Heber City, UT
  • NPI 1629080544
  Medicare reassignment Care Compare group NPD Authorized official
• Iron Horse PT

  • Physical Therapist
  • Park City, UT
  • NPI 1407861271
  NPD (past)
• Peak Performance PT

  • Physical Therapist
  • Coalville, UT
  • NPI 1336154103
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1861484131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 PARKWAY DR. STE C",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "84098",
            "telephone_number": "435-649-7335",
            "fax_number": "435-649-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 PARKWAY DR. STE C",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "84098",
            "telephone_number": "435-649-7335",
            "fax_number": "435-649-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVIE",
        "first_name": "DAN",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "0313197-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insight Psychotherapy LLC
• Integral Behavioral Health Services, LLC
• Iron Horse PT
• Nina Ivanova
• Katherine Ivers, ATC
• Karissa Keagan Jackson, ACNPC-AG
• Elizabeth Comfort Jacobsen, WHNP-BC
• Margaret Afton Jahries, APRN
• Mark W Jankowske, D.O.
• Jasima Reynolds

• Physical Therapist in Park City, UT
• Providers in Park City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.