Proof Physiotherapy LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PROOF PHYSIOTHERAPY LLC

Practice address

4386 W Monument Peak Dr
Herriman, UT 84096

Phone

(801) 450-0008

NPI assigned

Apr 30, 2025

Organization subpart

No

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

Authorized official

Name

Jason Danielson, PT, DPTNPI 1093163941

Title

PT

Phone

(801) 450-0008

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faustin Chad Vigil

  • Physician Assistant
  • Cottonwood Heights, UT
  • NPI 1821502469
  Medicare reassignment NPD
• Jason Danielson

  • Physical Therapist
  • West Jordan, UT
  • NPI 1093163941
  NPD Authorized official

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1114715935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4386 W MONUMENT PEAK DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "84096",
            "telephone_number": "801-450-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4386 W MONUMENT PEAK DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "84096",
            "telephone_number": "801-450-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROOF PHYSIOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "DANIELSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "801-450-0008",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Peterson
• Naomi Helene Phillips, DC
• Dana Michelle Pickle, FNP
• Premier Orthodontic Care
• Kent Austin Prewett
• Stefanie Prosence
• Samantha Purser
• Edward Rangel, MASSAGE THERAPIST
• John Reimschiissel, DMD
• Leticia Reyes I

• Multi-Specialty Clinic/Center in Herriman, UT
• Providers in Herriman, UT by specialty
• Multi-Specialty Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.