Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW J WEBER, PT, DPT, LAT, ATC
Deactivated Sole ProprietorMATTHEW J WEBER, PT, DPT, LAT, ATC is a Physical Therapy Assistant healthcare provider located in MILL CREEK, Utah. NPI 1619450475 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MILL CREEK, UT
This NPI has been deactivated.
The record was deactivated on February 25, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1619450475
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2018 (1.4672131147541 yrs)
- Last Updated
- Dec 10, 2025
- Deactivated
- Feb 25, 2020
- Licenses
-
9467244-2401 (UT)9467244-4801 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1153 E 3900 SMILL CREEK, UT, 84124Browse UT providers · Browse ZIP 84124
- Phone
- 8012626331
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.