Individual provider Active NPI

Monte Rod Zundel, MS, PT

  • Physical Therapist
  • North Ogden, UT
National Provider Identifier
1861597957
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
367930-2401 Issued in UT
Practice address
1638 N Washington Blvd Ste 103
North Ogden, UT 84404-3790
Phone
(801) 782-3500
Fax
(801) 786-1926
NPI assigned
Sep 13, 2006
Last updated
Jan 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 367930-2401 UT Primary

Addresses

Primary practice location

1638 N Washington Blvd Ste 103
North Ogden, UT 84404-3790

Mailing address

2713 W 1575 N
Plain City, UT 84404-8535
Phone (801) 782-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031205000637 UT Practitioner - Physical Therapist in Private Practice 1951206457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1638 N Washington Blvd
Suite 103
North Ogden, UT 84404-3790
Phone (801) 782-3500

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 CurrentSince Mar 1, 2020 Accepting new patients
Fit Quest Therapy & Rehabilitation Inc Past Accepting new patients

Locations

1638 N Washington Blvd
Ste 103
North Ogden, UT 84404
Phone (801) 762-3500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1861597957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 W 1575 N",
            "city": "PLAIN CITY",
            "state": "UT",
            "postal_code": "844048535",
            "telephone_number": "801-782-3500",
            "fax_number": "801-786-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 N WASHINGTON BLVD STE 103",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844043790",
            "telephone_number": "801-782-3500",
            "fax_number": "801-786-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNDEL",
        "first_name": "MONTE",
        "middle_name": "ROD",
        "name_prefix": "Mr.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "367930-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.