IndividualActive
Mike Black, DPT
NPI 1326436007 · Physical Therapist · Riverton, UT
Provider details
- NPI number
- 1326436007
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9255052-2401 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12391 S 4000 W
#210
Riverton, UT 84096-7012
Phone: (801) 446-0990
Street-level locationGet directions
Mailing address
9720 S 1300 E
Sandy, UT 84094-3712
Registry dates
- Enumerated
- 2015-01-02
- Last updated
- 2015-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.