Brad Lee Robison, DPT
Individual provider Active NPI Physical Therapist · Parowan, UT
NPI 1124433446 · NPPES record last updated Feb 24, 2023
Key facts
- NPI
- 1124433446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2719535-2401 (UT)
- Practice address
- 450 E Clinic Way, Ste. B
Parowan, UT 84761 - Phone
- (435) 477-0095
- Fax
- (435) 246-0352
- NPI assigned
- Jun 25, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140702002612 | NV | Practitioner - Physical Therapist in Private Practice | 0042435109 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2968 | NV | MD | Physical Therapist |
| 2719535-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Services B and Ris LLC | Physical Therapist | Current |
Accepting new patients |
Locations
2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151
135 W 2nd St
Winnemucca, NV 89445
Phone (775) 623-4813
325 Hanson St
Winnemucca, NV 89445
Phone (775) 625-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2968 | NV | |
| Physical Therapist | 225100000X | 2719535-2401 | UT | Yes |
Addresses
Primary practice location
450 E Clinic Way, Ste. B
Parowan, UT 84761
Mailing address
1940 S Bonito Way Ste 190
Meridian, ID 83642-5618
Phone (208) 287-9420
Other practice location 1
718 S. Main St.
Main Floor
Cedar City, UT 84720
Phone (435) 708-0195
Other providers in Parowan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.