Individual provider Active NPI

Jared Melvin Thalman, P.T.

  • Physical Therapist
  • Richfield, UT
National Provider Identifier
1881621076
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4737147-2401 Issued in UT
Practice address
20 W Westview Dr
Richfield, UT 84701-5500
Phone
(435) 896-6653
Fax
(888) 965-5187
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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 4737147-2401 UT Primary

Addresses

Primary practice location

20 W Westview Dr
Richfield, UT 84701-5500

Mailing address

20 W Westview Dr
Richfield, UT 84701-5500
Phone (435) 896-6653

Other identifiers 7

IdentifierTypeStateIssuer
1356470009OtherUTCENTRAL UTAH PHYSICAL THERAPY SERVICES, INC.
000055197OtherUTMEDICARE PTAN
107009134101OtherUTSELECT HEALTH
64189OtherUTPEHP
QM0000048212OtherUTJAS INC.
D3538MedicaidUT
870384752005MedicaidUT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000156 UT Practitioner - Physical Therapist in Private Practice 7416967419 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
Central Utah Physical Therapy Services IncGroup PAC ID 9032145693, 2 clinicians

Practice addresses (Care Compare)

20 W Westview Dr
Richfield, UT 84701-5500
Phone (435) 896-6653

Merit-based Incentive Payment System (MIPS)

Final score
23.19 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Utah Physical Therapy Services Inc Physical Therapist PastSince Aug 14, 2000 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1881621076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W WESTVIEW DR",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847015500",
            "telephone_number": "435-896-6653",
            "fax_number": "888-965-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W WESTVIEW DR",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847015500",
            "telephone_number": "435-896-6653",
            "fax_number": "888-965-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALMAN",
        "first_name": "JARED",
        "middle_name": "MELVIN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "4737147-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTRAL UTAH PHYSICAL THERAPY SERVICES, INC.",
            "identifier": "1356470009",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000055197",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "107009134101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "64189",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAS INC.",
            "identifier": "QM0000048212",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3538",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870384752005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.