LYLE H BLACK MPT
NPI 1619144920
Specialist in Logan, UT

Active since May 15, 2008
248 W 300 N, LOGAN, UT 84321(435) 754-0277(435) 752-1318 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Lyle H Black Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYLE H BLACK MPT (NPI 1619144920) is an individual specialist in Logan, Utah, licensed in Utah (5271519-2401) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1619144920
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameLYLE H BLACKCredential: MPT
Location Address248 W 300 NLogan, UT 84321-3810
Mailing Address248 W 300 NLogan, UT 84321-3810 · (435) 754-0277 · Fax (435) 752-1318
Fax(435) 752-1318
Sole ProprietorNo
Enumeration DateMay 15, 2008
Last NPPES UpdateSeptember 11, 2008
NPI 1619144920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in UT · 5271519-2401
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
248 W 300 N, Logan, UT 84321

Other Identifiers 1

Medicaid$$$$$$$$$001UT

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
248 W 300 N
LOGAN, UT 84321
Skilled Nursing Facility
248 W 300 N
LOGAN, UT 84321
Occupational Therapist
248 W 300 N
LOGAN, UT 84321
Physical Therapist
248 W 300 N
LOGAN, UT 84321
Skilled Nursing Facility
248 W 300 N
LOGAN, UT 84321
In Home Supportive Care
248 W 300 N
LOGAN, UT 84321
Specialist
248 W 300 N
LOGAN, UT 84321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lyle Black's NPI number?

The NPI number for Lyle Black is 1619144920. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Where is Lyle Black located?

Lyle Black practices at 248 W 300 N, Logan, UT 84321. The listed phone number is (435) 754-0277.

What is Lyle Black's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lyle Black was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.