Individual provider Active NPI

Howard Knudsen, P.T.

  • Orthopedic Physical Therapist
  • Orem, UT
National Provider Identifier
1992863906
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
51663182401 Issued in UT
Practice address
1245 S 800 E
Orem, UT 84097-7232
Phone
(801) 310-0851
Fax
(801) 377-3697
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 51663182401 UT Primary

Addresses

Primary practice location

1245 S 800 E
Orem, UT 84097-7232

Mailing address

1245 S 800 E
Orem, UT 84097-7232
Phone (801) 310-0851

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000324 UT Practitioner - Physical Therapist in Private Practice 2163450404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard a Knudsen PT PCGroup PAC ID 3274561519, 2 clinicians

Practice addresses (Care Compare)

1245 S 800
Orem, UT 84097-7232
Phone (801) 310-0851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Howard a Knudsen PT PC CurrentSince May 18, 2005 Accepting new patients

Locations

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

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

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 and 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-1",
    "last_updated_epoch": "1646956800000",
    "number": "1992863906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S 800 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840977232",
            "telephone_number": "801-310-0851",
            "fax_number": "801-377-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S 800 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840977232",
            "telephone_number": "801-310-0851",
            "fax_number": "801-377-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "HOWARD",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "51663182401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.