Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Krace Conner Maw

Individual provider Physical Therapist · NPI 1124510235

Krace Conner Maw is a Physical Therapist in South Ogden, Utah. Licensed in Idaho. Registered with an NPI since 2018.

Licensed in
ID
In the registry since
2018
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Practice location Address checks out

5856 Harrison Blvd Ste A
South Ogden, UT 84403-2117
Phone: (801) 475-6415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-5653 (ID)

Record details

NPI number1124510235
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2018
Last updated in NPPESJune 4, 2018

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients20
Services billed 781 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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