Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles R Acevedo, PT

Individual provider Physical Therapist · NPI 1134239254

Charles R Acevedo, PT is a Physical Therapist in Private Practice in North Logan, Utah. Qualified in 1991, 35 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
35
Licensed in
UT
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2310 N 400 E Ste C
North Logan, UT 84341
Phone: (435) 752-5200
Fax: (435) 752-5228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1205752401 (UT)

Record details

NPI number1134239254
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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