Gateway Physical Therapy And Sports Rehab - Medicare Physical Therapist in Providence, UT

Gateway Physical Therapy And Sports Rehab is a medicare enrolled "Physical Therapist" provider in Providence, Utah. Their current practice location is 169 N Gateway Dr Ste 160, Providence, Utah. You can reach out to their office (for appointments etc.) via phone at (435) 799-3111.

Gateway Physical Therapy And Sports Rehab is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Gateway Physical Therapy And Sports Rehab is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1275098998.

Contact Information

Gateway Physical Therapy And Sports Rehab
169 N Gateway Dr Ste 160,
Providence, UT 84332-9707
(435) 799-3111
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameGateway Physical Therapy And Sports Rehab
TypeFacility
SpecialityPhysical Therapist
Location169 N Gateway Dr Ste 160, Providence, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275098998
  • Provider Enumeration Date: 02/06/2019
  • Last Update Date: 06/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1557796232
  • Enrollment ID: O20200128000574

Medical Identifiers

Medical identifiers for Gateway Physical Therapy And Sports Rehab such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275098998NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gateway Physical Therapy And Sports Rehab acts as a billing entity for following providers:
Provider NameStephen Kyle Severe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376074187
PECOS PAC ID: 4587931514
Enrollment ID: I20170523002369
Provider NameDarin Andrew Chase
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063550028
PECOS PAC ID: 6002241783
Enrollment ID: I20200128000724
Provider NameVernon Robert Malan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114110079
PECOS PAC ID: 7810322591
Enrollment ID: I20200128000813
Provider NameCamille Porter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881920403
PECOS PAC ID: 7416136528
Enrollment ID: I20210324003401
Provider NameIsaac Malone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487197125
PECOS PAC ID: 3274913736
Enrollment ID: I20220630002242

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gateway Physical Therapy And Sports Rehab is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gateway Physical Therapy And Sports Rehab
169 N Gateway Dr Ste 160,
Providence, UT 84332-9882

Ph: (435) 799-3111
Gateway Physical Therapy And Sports Rehab
169 N Gateway Dr Ste 160,
Providence, UT 84332-9707

Ph: (435) 799-3111

Reviews and Comments


Physical Therapist in Providence, UT

Darin Andrew Chase, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 169 N Gateway Dr Ste 160, Providence, UT 84332
Phone: 435-799-3111    Fax: 435-799-3148
Brandon Reed, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 550 W 465 N, Providence, UT 84332
Phone: 435-535-3677    
Katelyn Laaksonen,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 550 W 465 N Ste 504, Providence, UT 84332
Phone: 435-535-3677    
Hunter Hanks, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 169 N Gateway Dr Ste 160, Providence, UT 84332
Phone: 435-799-3111    
Jonathan Patrick Sprouse,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 190 S Highway 165, Providence, UT 84332
Phone: 435-755-3300    
Michael Taylor,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 267 N Spring Creek Pkwy, Providence, UT 84332
Phone: 435-792-9400    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.