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

Maya Purwatini Atmojo

Individual provider Physician Assistant · NPI 1558943662

Maya Purwatini Atmojo is a Physician Assistant in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2023, 3 years ago. Practices with Achieve Brain and Spine Inc, a 6-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
Trained at
University of Utah School of Medicine
In the registry since
2021
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Practice location Address checks out

375 S Chipeta Way Ste A
Salt Lake City, UT 84108-1261
Phone: (801) 581-7766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1558943662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2021
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Achieve Brain And Spine Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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