Individual provider Active NPI

Douglas B Toole, P.T.

  • Physical Therapist
  • Coalville, UT
National Provider Identifier
1962617290
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
103506-2401 Issued in UT
Practice address
142 South 50 East
Coalville, UT 84017
Phone
(435) 645-8466
Fax
(435) 615-7388
NPI assigned
May 11, 2007
Last updated
Oct 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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 103506-2401 UT Primary

Addresses

Primary practice location

142 South 50 East
Coalville, UT 84017

Mailing address

142 South 50 East
P.O. Box 405
Coalville, UT 84017
Phone (435) 336-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103506-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaintop Physical Therapy & Wellness Center, Inc. Physical Therapist PastSince Nov 1, 2002 Accepting new patients

Organizations & group practices 1

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1962617290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SOUTH 50 EAST",
            "address_2": "P.O. BOX 405",
            "city": "COALVILLE",
            "state": "UT",
            "postal_code": "84017",
            "telephone_number": "435-336-9355",
            "fax_number": "435-336-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SOUTH 50 EAST",
            "city": "COALVILLE",
            "state": "UT",
            "postal_code": "84017",
            "telephone_number": "435-645-8466",
            "fax_number": "435-615-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOLE",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "103506-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coalville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.