STEVEN M WIXOM PT DPT CHT NPI 1093716680

NPI Information

NPI: 1093716680
Provider Name: STEVEN M WIXOM, PT, DPT, CHT
Classification: Physical Therapist - 2251H1200X
Entity Type: Individual

Specialization: Hand

Address:
702 E SOUTH TEMPLE
#102
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 328-8535
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Steven M Wixom, PT, DPT, CHT is a hand physical therapist in Salt Lake City, UT. Steven M Wixom, PT, DPT, CHT NPI is 1093716680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

702 E SOUTH TEMPLE
#102
SALT LAKE CITY, UT
ZIP 84102-204
Phone: (801) 328-8535
Fax: (801) 364-1242

The enumeration date for this NPI number is 8/3/2005 and was last updated on 12/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251H1200X	Physical Therapist	Hand	275343-2401	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5417	OTHER	UTAH	DMBA
2	27534324000001	OTHER	UTAH	BLUE CROSS BLUE SHIELD
3	69156	OTHER	UTAH	PEHP
4	1108540001	OTHER	UTAH	CIGNA DMERC
5	CJ9402	OTHER	UTAH	RAILROAD MEDICARE
6	6400654	OTHER	UTAH	UNITED HEALTHCARE
7	870388269BR1	OTHER	UTAH	EDUCATORS MUTUAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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