LOUIS HOWARD QUACKENBUSH, D.P.T. — NPI 1487780003 (Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers

CMS-1500 Box 24J / 33a • NPI

1487780003

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225100000X (CMS 65)

Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist

Box 32 Service Location & ZIP+4

95 WHITE SAGE AVE, SUITE C, DELTA, UT, 84624

Official NPPES Practice Location

Practice Phone & Referral Fax

(435) 864-2551

Fax: (435) 864-3573

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1487780003 (LOUIS HOWARD QUACKENBUSH, D.P.T.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1487780003` (NPI-1 Individual Practitioner)
Provider / Legal Name	LOUIS HOWARD QUACKENBUSH, D.P.T.
Plain-English Specialty	Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: `225100000X` (Physical Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	95 WHITE SAGE AVE, SUITE C, DELTA, UT, 84624
Practice Telephone / Fax	Tel: (435) 864-2551 \| Fax: (435) 864-3573
Administrative Mailing Address	95 WHITE SAGE AVE, DELTA, UT, 84624-5555
Enumeration & Last Sync	Enumerated: 2007-02-26 \| CMS Record Updated: 2018-11-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

95 WHITE SAGE AVE, SUITE C, DELTA, UT, 84624

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Plain-English Taxonomy & CMS Crosswalk (225100000X)

What Does Taxonomy Code 225100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LOUIS HOWARD QUACKENBUSH, D.P.T.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: UT \| License: `285712-2401` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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LOUIS HOWARD QUACKENBUSH, D.P.T. (NPI #1487780003)