Organization Active NPI

Howard a Knudsen PT PC

  • Physical Therapy Clinic/Center
  • Provo, UT
National Provider Identifier
1881752830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
51663182401 Issued in UT
Legal business name
HOWARD A KNUDSEN PT PC
Practice address
3585 N University Ave
Suite100
Provo, UT 84604-6601
Phone
(801) 310-0851
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Howard Knudsen, P.T.NPI 1992863906
Title
President
Phone
(801) 310-0851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 51663182401 UT Primary

Addresses

Primary practice location

3585 N University Ave
Suite100
Provo, UT 84604-6601

Mailing address

3585 N University Ave
Suite100
Provo, UT 84604-6601
Phone (801) 310-0851

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050728000887 UT Part B Supplier - Clinic/Group Practice 3274561519 Receives reassigned benefits from 2 practitioners
Practice locations: Orem, UT

National Provider Directory

National Provider Directory

Locations

1245 S 800 E
Orem, UT 84097
Phone (801) 310-0851

3000 N University Ave
Ste 100
Provo, UT 84604
Phone (801) 310-0851

3585 N University Ave
Ste 100
Provo, UT 84604
Phone (801) 310-0851

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881752830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 N UNIVERSITY AVE",
            "address_2": "SUITE100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046601",
            "telephone_number": "801-310-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 N UNIVERSITY AVE",
            "address_2": "SUITE100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046601",
            "telephone_number": "801-310-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD A KNUDSEN PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNUDSEN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-310-0851",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "51663182401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.