ROBERT G BLACK SR. (NPI# 1336624535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336624535 |
| Entity Type | Individual |
| Full Name | ROBERT G BLACK SR. |
| Practice Address |
3550 Harrison Blvd Ste D Ogden UT 84403-2081 |
| Practice Telephone | 8014764141 |
| Practice Fax Number | 8014762097 |
| Mailing Telephone | 8014764141 |
| Mailing Fax Number | 8014762097 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 343568-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629583471 | Robert D Black | Counselor | 2569 Lakefield Trl, Marietta, GA 30064-5764 | 2017-12-01 |
| 1285039735 | Robert Black | Hearing Instrument Specialist | 1012 Gay St, Portsmouth, OH 45662-3456 | 2014-10-27 |
| 1538434097 | Robert Clint Black | Registered Nurse | 1169 Broderick Rd, Omro, WI 54963-1091 | 2012-03-16 |
| 1013186246 | Robert Black | Chiropractor | 1270 5th Ave Apt 5t, New York, NY 10029-3421 | 2008-02-21 |
| 1457499428 | Robert Grant Black | Specialist | 285 Vista Drive, Suite A, Pocatello, ID 83201 | 2007-02-02 |
| 1134107576 | Robert Michael Black | Family Medicine | 40 Okatie Center Blvd S, Suite 205, Okatie, SC 29909-7507 | 2006-01-05 |
| 1902808827 | Robert D Black | Internal Medicine | 3600 Gaston Avenue, Suite 806, Dallas, TX 75246-1808 | 2005-08-11 |
| 1003373713 | Robert William Black | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2019-02-28 |
| 1861985657 | Robert Lee Black IIi | Physician Assistant | 640 Alden St, Meadville, PA 16335-2348 | 2018-06-07 |
| 1497209829 | Robert Marcus Black | Pharmacist | 1500 N Trenton St, Ruston, LA 71270-2328 | 2016-08-15 |
| Street Address |
3550 HARRISON BLVD STE D |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-2081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| 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 |
|---|---|---|---|---|
| 1952847410 | Boone County Hospital | Physical Therapist | 317 W Walnut St, Ogden, IA 50212-3048 | 2017-01-09 |
| 1326498767 | Mary Celeste Lake | Physical Therapist | 1635 21st St, Ogden, UT 84401-0908 | 2016-06-16 |
| 1548552300 | Alexander James Bravo | Physical Therapist | 955 Chambers St, Suite G1, Ogden, UT 84403-4595 | 2011-05-11 |
| 1770818965 | Kirk Wayne Hansen | Physical Therapist | 3350 Airport Rd, Ogden, UT 84405-1563 | 2009-10-06 |
| 1093971921 | Carly Noel Adams | Physical Therapist | 5349 Adams Ave Pkwy, Suite A, Ogden, UT 84405-4736 | 2008-07-30 |
| 1629262803 | Jonathan Wheelwright | Physical Therapist | 5782 Adams Ave Pkwy, Ogden, UT 84405-6947 | 2007-08-30 |
| 1235295049 | Clay Sniteman | Physical Therapist | 2701 University Cir, Ogden, UT 84408-2701 | 2006-12-28 |
| 1427131374 | Kenneth W. Bauer | Physical Therapist | 5478 S. Adams Ave. Pkwy., Suite #1, Ogden, UT 84405 | 2006-10-23 |
| 1013016559 | Ernie Chasias Chavez | Physical Therapist | 5349 S Adams Ave, Suite A, Ogden, UT 84405-4736 | 2006-09-21 |
| 1962508309 | John Charles Flint | Physical Therapist | 5405 S 500 E Ste 200, Ogden, UT 84405-7421 | 2006-09-15 |
| Find all providers in OGDEN | ||||
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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.