MONT DIDERICKSEN (PT) – Physical Therapist, NPI 1063963825

MONT DIDERICKSEN (PT) is a healthcare provider. based in Smithfield, Utah. specializing in Physical Therapist. They hold the professional credentials PT. The NPI Number for MONT DIDERICKSEN (PT) is 1063963825

Main info

Male
Name
MONT DIDERICKSEN (PT)
NPI
1063963825
Phone
(435) 757-4847
Address
551 S 455 E
Enumeration Date
17 October 2016
Last Update Date
17 October 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

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Provider Addresses for MONT DIDERICKSEN (PT)

  • 551, South 455 East, Smithfield, Cache County, Utah, 84335, United States

    SMITHFIELD, UT 843351355

    Phone: (435) 757-4847

    Mailing address matches the actual address.

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

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 84335)

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Reviews

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Frequently asked questions

Can I use this page to confirm MONT DIDERICKSEN (PT)'s NPI?
Yes. MONT DIDERICKSEN (PT) is listed with NPI 1063963825 in the public NPI dataset.
Is MONT DIDERICKSEN (PT) listed as active for patients and plans?
The listing shows MONT DIDERICKSEN (PT) as active in the NPI system.
What is MONT DIDERICKSEN (PT)'s specialty?
The listing groups MONT DIDERICKSEN (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does MONT DIDERICKSEN (PT) serve?
MONT DIDERICKSEN (PT)'s listing highlights Smithfield, Utah; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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