NATHAN P. DAVIDSON (MD) – Physical Medicine & Rehabilitation Physician, NPI 1356970933

NATHAN P. DAVIDSON (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 12420018-1205 (UT). The NPI Number for NATHAN P. DAVIDSON (MD) is 1356970933

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN P. DAVIDSON (MD)
NPI
1356970933
Phone
Not provided
Address
30 N 1900 E
Enumeration Date
5 April 2020
Last Update Date
22 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
8015613400
Graduation Year
2020 (6 years ago)
PAC ID
2961808969
Group Practice PAC ID
8628514890
Professional Enrollment ID
I20240816002938
Address ID
UT840940743SA8074X1300300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

153 PHYSICAL MEDICINE AND REHABILITATION in UT

Provider Addresses for NATHAN P. DAVIDSON (MD)

  • 30 N 1900 E

    SALT LAKE CITY, UT 841320002

    Phone:

    Type: Mailing

  • 30 N 1900 E RM 1C301

    SALT LAKE CITY, UT 841320002

    Phone: (801) 585-2589

    Type: Mailing

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: 2024-08-16

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
I20240816002938IPhysical Medicine And RehabilitationUTTBD

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 84132)

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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: 8628514890View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationUT
Clinical Social WorkerUT
Physician AssistantNV
Physical Medicine And RehabilitationUT

Reviews

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Frequently asked questions

Does NATHAN P. DAVIDSON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NATHAN P. DAVIDSON (MD) uses 1356970933.
Is NATHAN P. DAVIDSON (MD) listed as active for patients and plans?
The listing shows NATHAN P. DAVIDSON (MD) as active in the NPI system.
What is NATHAN P. DAVIDSON (MD)'s primary classification?
Physical Medicine & Rehabilitation Physician is the headline specialty for NATHAN P. DAVIDSON (MD) here. Clinical services aligned with this taxonomy classification.
Does NATHAN P. DAVIDSON (MD) list a practice location?
Patients near Salt Lake City, Utah may find NATHAN P. DAVIDSON (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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