VERNON R MALAN (PT) – Physical Therapist, NPI 1114110079

VERNON R MALAN (PT) is a healthcare provider. based in Logan, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 4974591-2401 (UT). The NPI Number for VERNON R MALAN (PT) is 1114110079

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
VERNON R MALAN (PT)
NPI
1114110079
Phone
(435) 713-9700
Address
2380 N 400 E
Enumeration Date
23 August 2007
Last Update Date
23 August 2007

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
4357993111
Graduation Year
2003 (23 years ago)
PAC ID
7810322591
Group Practice PAC ID
1557796232
Professional Enrollment ID
I20200128000813
Address ID
UT843329882PR169XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

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Provider Addresses for VERNON R MALAN (PT)

  • Cache Valley Hospital, 2380, North 400 East, Greenville, North Logan, Cache County, Utah, 84341, United States

    LOGAN, UT 843411749

    Phone: (435) 713-9700

    Fax: (435) 753-8005

    Type: Mailing

  • 1950, South Highway 89, Perry, Box Elder County, Utah, 84302, United States

    PERRY, UT 843024119

    Phone: (435) 723-1902

    Fax: (435) 723-1908

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200128000813IPhysical Therapist In Private PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes54744$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care33543$0
97140Therapy procedure using manual technique, each 15 minutes28136$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes26124$0
97162Evaluation for physical therapy, typically 30 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 84341)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557796232View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT

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Frequently asked questions

What is VERNON R MALAN (PT)'s NPI number?
VERNON R MALAN (PT)'s NPI is 1114110079 — the number used across U.S. healthcare to identify this provider.
Is there an active status for VERNON R MALAN (PT)?
For scheduling context, VERNON R MALAN (PT) is shown as active in the registry.
How would a patient describe VERNON R MALAN (PT)'s focus?
For VERNON R MALAN (PT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with VERNON R MALAN (PT)?
Directory geography for VERNON R MALAN (PT) centers on Logan, Utah.
When was this NPI issued?
Enumeration for VERNON R MALAN (PT) is noted as August 23, 2007 where the registry provides it.

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