Individual provider Active NPI

Micah Weber, PT, DPT

  • Physical Therapist
  • Malad City, ID
National Provider Identifier
1922553619
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7744 Issued in ID
Practice address
554 S 5400 W
Malad City, ID 83252-6556
Phone
(208) 766-4978
NPI assigned
Aug 23, 2016
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back at Work of Utah LLC (17 clinicians)

Practice addresses (Care Compare)

630 E 1400
Suite 140
Logan, UT 84341-2549
Phone (435) 213-3850

Merit-based Incentive Payment System (MIPS)

Final score
84.72 of 100 (group)
Quality
86.53
Improvement activities
40
Cost
67.04

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240918000158 UT Practitioner - Physical Therapist in Private Practice 1557658564 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3427NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hypt LLC Physical Therapist Current Accepting new patients
Back at Work of Utah LLC Physical Therapist Current
since Aug 12, 2024
Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

772 E 700 S
Ste 3
Clearfield, UT 84015
Phone (801) 217-3755

630 E 1400 N
Ste 140
Logan, UT 84341
Phone (435) 213-3850

805 W Main St
Ste C
Tremonton, UT 84337
Phone (435) 257-0106

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7744 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

554 S 5400 W
Malad City, ID 83252-6556

Mailing address

554 S 5400 W
Malad City, ID 83252-6556
Phone (208) 766-4978

Other practice location 1

9070 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129-8934
Phone (702) 655-8535 ext. 58535

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2026.

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1922553619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 S 5400 W",
            "city": "MALAD CITY",
            "state": "ID",
            "postal_code": "832526556",
            "telephone_number": "208-766-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 S 5400 W",
            "city": "MALAD CITY",
            "state": "ID",
            "postal_code": "832526556",
            "telephone_number": "208-766-4978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9070 W Cheyenne Ave",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891298934",
            "country_code": "US",
            "telephone_number": "702-655-8535 x58535",
            "fax_number": "702-656-5863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "MICAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-23",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "7744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malad City, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.