Individual provider Active NPI

Brandon Reed, DPT

  • Physical Therapist
  • Providence, UT
National Provider Identifier
1083446207
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
139892082401 Issued in UT
Practice address
550 W 465 N
Providence, UT 84332-8014
Phone
(435) 535-3677
NPI assigned
Aug 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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 139892082401 UT Primary

Addresses

Primary practice location

550 W 465 N
Providence, UT 84332-8014

Mailing address

4871 Hollow Rd
Nibley, UT 84321-7966
Phone (435) 757-5383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918001391 UT Practitioner - Physical Therapist in Private Practice 4688115603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reactive Physical Therapy PLLCGroup PAC ID 2264811157, 5 clinicians

Practice addresses (Care Compare)

550 W 465
Suite 504
Providence, UT 84332-8014
Phone (435) 535-3677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
139892082401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reactive Physical Therapy PLLC Physical Therapist CurrentSince Aug 22, 2024 Accepting new patients

Locations

550 W 465 N
Ste 504
Providence, UT 84332
Phone (435) 232-5773

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": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1083446207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 HOLLOW RD",
            "city": "NIBLEY",
            "state": "UT",
            "postal_code": "843217966",
            "telephone_number": "435-757-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W 465 N",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843328014",
            "telephone_number": "435-535-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "BRANDON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "139892082401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.