Jonathon Oliver Eichner, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

9058233-2401 Issued in UT

Practice address

10133 N 92ND St Ste 102
Scottsdale, AZ 85258-4556

Phone

(480) 681-5119

Fax

(480) 681-5120

NPI assigned

Dec 11, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportsmed Physical Therapy of Bountiful a Professional CorpGroup PAC ID 2668462045, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sportsmed Physical Therapy of Bountiful a Professional Corp

  • Physical Therapy Clinic/Center
  • Bountiful, UT
  • NPI 1215119870

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Pure Motion Performance and Therapy

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
  • NPI 1497267561
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673136000000",
    "number": "1013315712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 E STATE RD",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032151",
            "telephone_number": "480-489-5732",
            "fax_number": "801-492-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10133 N 92ND ST STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584556",
            "telephone_number": "480-681-5119",
            "fax_number": "480-681-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHNER",
        "first_name": "JONATHON",
        "middle_name": "OLIVER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-11",
        "last_updated": "2023-01-08",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13320",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "13320",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "9058233-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeichner582420@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Genevieve L Egnatios, M.D.
• Austin Egnew
• Claudine Egol, M.D.
• Megan Ehrlich, DPT
• Malory Margaret Eichman
• Charles David Eichstaedt, DO
• Erik D Eidenschink, LPC
• Einsteins Anesthesia LLC
• Eir,LLC
• Shawna Eischens, N.M.D

• Orthopedic Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.