Active NPI
Brad Lee Robison, DPT
- Physical Therapist
- Parowan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2719535-2401
- Practice address
- 450 E Clinic Way, Ste. B
Parowan, UT 84761 - Phone
- (435) 477-0095
- Fax
- (435) 246-0352
- NPI assigned
- Jun 25, 2014
- Last updated
- Feb 24, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2968 | NV | |
| Physical Therapist | 225100000X | 2719535-2401 | UT | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rehab Services of Nevada - Winnemucca
- Physical Therapist
- Winnemucca, NV
- NPI 1245331404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1124433446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 S BONITO WAY STE 190",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425618",
"telephone_number": "208-287-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E CLINIC WAY, STE. B",
"city": "PAROWAN",
"state": "UT",
"postal_code": "84761",
"telephone_number": "435-477-0095",
"fax_number": "435-246-0352"
}
],
"practiceLocations": [
{
"address_1": "718 S. Main St.",
"address_2": "Main Floor",
"address_purpose": "LOCATION",
"city": "Cedar City",
"state": "UT",
"postal_code": "84720",
"country_code": "US",
"telephone_number": "435-708-0195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBISON",
"first_name": "BRAD",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-25",
"last_updated": "2023-02-24",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2968",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "2719535-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parowan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.