MIKE BLACK (NPI# 1326436007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326436007 |
| Entity Type | Individual |
| Full Name | MIKE BLACK |
| Credential | DPT |
| Practice Address |
12391 S 4000 W #210 Riverton UT 84096-7012 |
| Mailing Address |
9720 S 1300 E #w200 Sandy UT 84094-3712 |
| Practice Telephone | 8014460990 |
| Mailing Telephone | 8012302376 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 9255052-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942716998 | Mike A Black | Emergency Medical Technician, Basic | 4989 S State St Unit 57768, Salt Lake City, UT 84157-5032 | 2017-12-28 |
| Street Address |
12391 S 4000 W #210 |
| City | RIVERTON |
| State | UT |
| Zip Code | 84096-7012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265403463 | William Benjamin Warner | Obstetrics & Gynecology | 12391 S 4000 W, Riverton, UT 84096-7012 | 2006-01-27 |
| 1649755349 | Joshua Streeter | Nurse Practitioner | 12391 S 4000 W, Riverton, UT 84096-7012 | 2018-09-27 |
| 1225446263 | Apex Dental Draper LLC | Dentist | 12391 S 4000 W, Suite 206, Riverton, UT 84096-7012 | 2014-07-22 |
| 1467735621 | Brandon James Hansen | Physician Assistant | 12391 S 4000 W, Riverton, UT 84096 | 2011-09-23 |
| 1063742492 | Apex Family & Cosmetic Dentistry | Dentist | 12391 S 4000 W, Suite 206, Riverton, UT 84096-7012 | 2010-01-07 |
| 1235464413 | Utah Gastroenterology P C | Internal Medicine | 12391 S 4000 W, Riverton, UT 84096-7012 | 2009-10-06 |
| 1801121108 | Carly Rae Davis | Pediatrics | 12391 S 4000 W, Riverton, UT 84096-7012 | 2009-10-05 |
| 1538321237 | Jeremy Paul Gerritsen | Optometrist | 12391 S 4000 W, Riverton, UT 84096-7012 | 2008-06-25 |
| 1649455403 | Daniel Todd Richards | Orthopaedic Surgery | 12391 S 4000 W, Riverton, UT 84096-7012 | 2007-12-29 |
| 1386825024 | Craig Alan Coleby | Internal Medicine | 12391 S 4000 W, Suite 100, Riverton, UT 84096-7012 | 2007-11-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499249 | Abundant Dental Care, P.C. | Dentist | 5089 West 12600 South, Herriman, UT 84096 | 2019-07-19 |
| 1225563703 | Kristen Haslam | Specialist/Technologist, Other | 13947 S Newburg Dr., Herriman, UT 84096 | 2017-04-21 |
| 1770960452 | Tyler Rolland Petersen | Social Worker | 13351 S Shaunna Lane, Herriman, UT 84096 | 2015-05-01 |
| 1649687948 | Victor Clark | Assisted Living Facility | 6352 W 13100 S, Herriman, UT 84096 | 2014-07-18 |
| 1548539554 | Neck and Back Relief | Chiropractor | 12600 S. 4013 W., Suite E, Riverton, UT 84096 | 2011-12-20 |
| 1114220092 | Sharlene Christensen | Counselor | 13878 S. Ken Cv, Herriman, UT 84096 | 2010-12-14 |
| 1518156991 | Jon Christian Fairbanks | Dentist | 5532 W. Herriman Main Street, #210, Herriman, UT 84096 | 2007-10-22 |
| 1215154232 | Karen Jane Olson | Nurse Practitioner | 13400 S. 5746 W #200, Herriman, UT 84096 | 2007-04-19 |
| 1619022969 | Jeffrey T Lambert | Dentist | 5532 W. Herriman Main St., #210, Herriman, UT 84096 | 2007-01-25 |
| 1578638854 | Stevenson Pediatric Dentistry P.C. | Dentist | 4019 W. 12600 S., Suite 200, Riverton, UT 84096 | 2006-11-21 |
| Find all providers in zip 84096 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736299 | Torq Physical Therapy & Associates | Physical Therapist | 600 Main St Ste 8, Riverton, NJ 08077-1400 | 2020-10-02 |
| 1770004020 | Elizabeth Young | Physical Therapist | 3741 W 12600 S Ste 100, Riverton, UT 84065-7215 | 2017-06-27 |
| 1790212777 | David L Wetzel LLC | Physical Therapist | 12403 S Doreen Dr, Riverton, UT 84065-4360 | 2017-05-22 |
| 1013366822 | Kimberlee A Leduc | Physical Therapist | 13348 S Market Center Dr # 150, Riverton, UT 84065-8001 | 2016-06-13 |
| 1568726081 | Katelin Renee Tucker | Physical Therapist | 2002 W Sunset Dr Ste 1, Riverton, WY 82501-2285 | 2012-06-28 |
| 1649416728 | Jared M. Suker | Physical Therapist | 12391 S 4000 W Ste 210, Riverton, UT 84096-7035 | 2008-12-19 |
| 1770729949 | Jeramiah Fortune | Physical Therapist | 13747 Redwood Rd, Riverton, UT 84065 | 2008-12-18 |
| 1407038557 | James W Drury | Physical Therapist | 4968 Kessler Peak Dr, Riverton, UT 84096-6454 | 2007-11-30 |
| 1225234909 | Roland B Hancock | Physical Therapist | 220 Ocean Lake Rd, Riverton, WY 82501-8318 | 2007-06-21 |
| 1699811133 | Freeman Physical Therapy Group Inc | Physical Therapist | 3409 W 12600 South, # 230, Riverton, UT 84065 | 2007-01-30 |
| Find all providers in RIVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.