Active NPI
Jason Hodson
- Physical Therapist
- South Jordan, UT
National Provider Identifier
1063373900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11049667-2402
- Practice address
- 11531 S District Dr Ste 1200
South Jordan, UT 84095-5782 - Phone
- (801) 260-3100
- NPI assigned
- Nov 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11049667-2402 | UT | Primary |
Addresses
Primary practice location
11531 S District Dr Ste 1200
South Jordan, UT 84095-5782
Mailing address
1805 N 350 W
Orem, UT 84057-8520
Phone (801) 787-0647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11049667-2402 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1063373900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 N 350 W",
"city": "OREM",
"state": "UT",
"postal_code": "840578520",
"telephone_number": "801-787-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11531 S DISTRICT DR STE 1200",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840955782",
"telephone_number": "801-260-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODSON",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-20",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "11049667-2402",
"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 Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.