PAUL G WORTLEY (PT) – Physical Therapist, NPI 1417940586
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT
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Provider Addresses for PAUL G WORTLEY (PT)
3497, 3500 South, West Valley City, Salt Lake County, Utah, 84119, United States
WEST VALLEY CITY, UT 841192537
Phone: (801) 417-5017
Fax: (801) 417-5016
Type: Location
PO BOX 307
BOUNTIFUL, UT 840110307
Phone: (888) 700-6907
Fax: (801) 294-6917
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.
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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: 2019-09-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051119000040 | I | Physical Therapist In Private Practice | UT | TBD |
| I20151221002453 | I | Physical Therapist In Private Practice | OR | TBD |
| I20190923003395 | I | Physical Therapist In Private Practice | CO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 67 | 38 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 51 | 40 | $0 |
| 97530 | Therapy procedure using functional activities | 42 | 30 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 34 | 26 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 31 | 22 | $0 |
Insurance plans in this area (ZIP 84119)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Physical Therapist In Private Practice | NM | |
| Physical Therapist In Private Practice | CO |
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