CARSON M POCH (DPT) – Physical Therapist, NPI 1225839624

CARSON M POCH (DPT) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 14193726-2401 (UT). The NPI Number for CARSON M POCH (DPT) is 1225839624

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
CARSON M POCH (DPT)
NPI
1225839624
Phone
Not provided
Address
2628 E CRUISE BAY CT
Enumeration Date
21 March 2025
Last Update Date
30 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012613321
Graduation Year
2024 (2 years ago)
PAC ID
7315448503
Group Practice PAC ID
0547252207
Professional Enrollment ID
I20250828005146
Address ID
UT841176658SA5151X900X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for CARSON M POCH (DPT)

  • 2628 E CRUISE BAY CT

    SALT LAKE CITY, UT 841213259

    Phone:

    Type: Mailing

  • 5151 S 900 E STE 100

    MURRAY, UT 841176658

    Phone: (801) 261-3321

    Type: Location

  • 1725 N 5th St

    Terre Haute, IN 478044010

    Phone: (812) 238-7210

    Type: Location

  • 333 E 2nd St

    Richland Center, WI 535811914

    Phone: (608) 647-6321

    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: 2025-08-28

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
I20250828005146IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84121)

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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: 0547252207View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Occupational Therapist In Private PracticeUT
-UT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
-UT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

How is CARSON M POCH (DPT) identified in CMS data?
CMS-hosted NPPES data lists CARSON M POCH (DPT) with NPI 1225839624.
Is CARSON M POCH (DPT) still practicing?
CARSON M POCH (DPT) is currently listed as active in the public NPI registry.
What is CARSON M POCH (DPT)'s primary classification?
Physical Therapist is the headline specialty for CARSON M POCH (DPT) here. Clinical services aligned with this taxonomy classification.
Does CARSON M POCH (DPT) list a practice location?
Patients near Salt Lake City, Utah may find CARSON M POCH (DPT) in results; validate coverage separately.
Is the information about CARSON M POCH (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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