Individual provider Active NPI

David J Astle, MPT

  • Physical Therapist
  • West Jordan, UT
National Provider Identifier
1881611614
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
348071-2401 Issued in UT
Practice address
8822 Redwood Rd
Suite E122
West Jordan, UT 84088-9336
Phone
(801) 566-7080
Fax
(801) 256-1133
NPI assigned
Jul 16, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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 348071-2401 UT Primary

Addresses

Primary practice location

8822 Redwood Rd
Suite E122
West Jordan, UT 84088-9336

Mailing address

PO Box 307
Bountiful, UT 84011-0307
Phone (888) 700-6907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000311 UT Practitioner - Physical Therapist in Private Practice 5193744951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family MedicalGroup PAC ID 7416197785, 84 clinicians

Practice addresses (Care Compare)

275 W 200
Suite 150
Lindon, UT 84042-5011
Phone (801) 769-2642

830 N 2000
Pleasant Grove, UT 84062-4047
Phone (801) 756-3511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
348071-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medical - Lindon Physical Therapy Physical Therapist CurrentSince Oct 1, 2014 Accepting new patients
Premier Family Medical - City Center CurrentSince Oct 1, 2014 Accepting new patients
Premier Family Medical Physical Therapist Current Accepting new patients

Locations

1112 E 300 N
Ste 302
American Fork, UT 84003
Phone (801) 642-2890

1159 E 200 N
Ste 100
American Fork, UT 84003
Phone (801) 357-8818

275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333

275 W 200 N
Ste 150
Lindon, UT 84042
Phone (801) 769-2642

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

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, 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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1881611614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110307",
            "telephone_number": "888-700-6907",
            "fax_number": "801-294-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8822 REDWOOD RD",
            "address_2": "SUITE E122",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889336",
            "telephone_number": "801-566-7080",
            "fax_number": "801-256-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTLE",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "348071-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.