Individual provider Active NPI

Travis Dell Felix, DPT

  • Physical Therapist
  • Brigham City, UT
National Provider Identifier
1124388558
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8232792-2401 Issued in UT
Practice address
1030 S Medical Dr Ste B
Brigham City, UT 84302-3281
Phone
(435) 538-5111
Fax
(435) 538-5981
NPI assigned
May 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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 8232792-2401 UT Primary

Addresses

Primary practice location

1030 S Medical Dr Ste B
Brigham City, UT 84302-3281

Mailing address

2561 S 1560 W Unit B
Woods Cross, UT 84087-2361
Phone (801) 505-0821

Other practice location 1

9844 S 1300 E
Ste 150
Sandy, UT 84094-4687
Phone (801) 572-0690

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120710000348 UT Practitioner - Physical Therapist in Private Practice 2860657228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Therapy and Sports Performance LLCGroup PAC ID 1052578432, 2 clinicians

Practice addresses (Care Compare)

1030 S Medical Dr
Suite B
Brigham City, UT 84302-3276
Phone (435) 538-5111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Registered Physical Therapists LLC CurrentSince Feb 24, 2019 Accepting new patients
Orthopaedic Therapy and Sports Performance LLC Physical Therapist CurrentSince Aug 7, 2020 Accepting new patients
Yasa LLC PastSince Feb 2, 2018 Accepting new patients

Locations

1030 S Medical Dr
Ste B
Brigham City, UT 84302
Phone (435) 538-5111

1030 S Medical Dr
Brigham City, UT 84302
Phone (435) 258-9598

9844 S 1300 E
Ste 200
Sandy, UT 84094
Phone (801) 572-0690

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

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

Organizations & group practices 3

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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1124388558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 S 1560 W UNIT B",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840872361",
            "telephone_number": "801-505-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S MEDICAL DR STE B",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023281",
            "telephone_number": "435-538-5111",
            "fax_number": "435-538-5981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9844 S 1300 E",
            "address_2": "STE 150",
            "address_purpose": "LOCATION",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944687",
            "country_code": "US",
            "telephone_number": "801-572-0690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIX",
        "first_name": "TRAVIS",
        "middle_name": "DELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "8232792-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.