Individual provider Active NPI

Jared Moser, DPT

  • Physical Therapist
  • South Jordan, UT
National Provider Identifier
1033980313
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13725417-2401 Issued in UT
Practice address
1868 W 9800 S Ste 200
South Jordan, UT 84095-4713
Phone
(801) 676-2210
NPI assigned
Jan 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13725417-2401 UT Primary

Addresses

Primary practice location

1868 W 9800 S Ste 200
South Jordan, UT 84095-4713

Mailing address

9844 S 1300 E Ste 300
Sandy, UT 84094-4693
Phone (801) 571-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240719002628 UT Practitioner - Physical Therapist in Private Practice 0547706020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13725417-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Registered Physical Therapists LLC CurrentSince May 6, 2024 Accepting new patients

Locations

9844 S 1300 E
Ste 300
Sandy, UT 84094
Phone (801) 572-0690

1868 W 9800 S
#200
South Jordan, UT 84095
Phone (801) 676-2210

1577 W 7000 S
Ste 100
West Jordan, UT 84084
Phone (801) 566-6301

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1033980313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9844 S 1300 E STE 300",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944693",
            "telephone_number": "801-571-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 W 9800 S STE 200",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954713",
            "telephone_number": "801-676-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "JARED",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13725417-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.