Leland E Dibble, P.T.
Physical Therapist in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1114036985
StatusActive
Last updated in NPPESAug 20, 2007
Details
- NPI
- 1114036985
- Entity type
- Individual (NPI-1)
- Name
- Mr. Leland E Dibble
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2006
- Last updated
- Aug 20, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 93-264888-2401 | UT | Yes |
Practice location
50 N Medical DrSalt Lake City, UT 84132-0001
Phone 801-581-2121
Mailing address
127 S 500 ESuite 660
Salt Lake City, UT 84102-1959
Phone 801-587-6470 · Fax 801-585-5629
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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