AXIAL-IM
NPI 1740843697
Neuromusculoskeletal Medicine & OMM in Riverton, UT

Active since April 17, 2019
3898 W INNOVATION DR STE B, RIVERTON, UT 84065(801) 302-0660(801) 302-2239 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2025, Apr 17, 2019 (2 updates tracked since 2019).

About Axial-im NPPES

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

AXIAL-IM (NPI 1740843697) is a healthcare organization registered as a neuromusculoskeletal medicine & omm in Riverton, Utah and active in the NPI registry since April 2019. The organization maintains a secondary practice location in West Valley City and lists Mollie S Wilson, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1740843697
Entity TypeOrganization
Primary Taxonomy204D00000X
Legal Business NameAXIAL-IM
Location Address3898 W INNOVATION DR STE BRiverton, UT 84065-6038
Mailing AddressPo Box 95411South Jordan, UT 84095-0411 · (801) 210-2776 · Fax (801) 972-5707
Fax(801) 302-2239
Organization SubpartNo
Authorized OfficialMollie S WilsonAuthorized Official · (913) 499-9885
Enumeration DateApril 17, 2019
Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1740843697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Also ListedPhysical Therapist · NeurologyTaxonomy 2251N0400X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3898 W INNOVATION DR STE B, Riverton, UT 84065

Other Names 1

Other NameAxial Medicine

Secondary Practice Location 1

Location 11264 W Village Main Dr Unit AWest Valley City, UT 84119-1952 · Phone (801) 210-2776 ext. 403 · Fax (801) 972-5707

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Axial-im is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Axial-Im, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1518665983
1264 W VILLAGE MAIN DR UNIT A
West Valley City, UT 84119
(801) 972-0393
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1053486076
576 E HIGHWAY 138 SUITE 350
Stansbury Park, UT 84074
(435) 843-1342
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Axial-Im's NPI number?

The NPI number for Axial-Im is 1740843697. It was assigned to this organization in the NPPES registry on April 17, 2019. The provider is also known as Axial Medicine.

Where is Axial-Im located?

Axial-Im is located at 3898 W Innovation Dr Ste B, Riverton, UT 84065. The listed phone number is (801) 302-0660.

What is Axial-Im's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Axial-Im enrolled in Medicare?

Yes. Axial-Im is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Axial-Im?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Axial-Im, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Axial-Im accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Axial-Im as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Axial-Im was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.