Curtis Nolan Phillips, PHD, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

4808543-2401 Issued in UT

Practice address

765 North 990 East
Logan, UT 84322-6810

Phone

(435) 797-0673

NPI assigned

Aug 15, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Utah State University

  • Developmentally Disabled Services Day Training Agency
  • Moab, UT
  • NPI 1144531419
  NPD (past)

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1124801014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 OLD MAIN HL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843226810",
            "telephone_number": "435-797-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 NORTH 990 EAST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843226810",
            "telephone_number": "435-797-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CURTIS",
        "middle_name": "NOLAN",
        "name_prefix": "Dr.",
        "credential": "PHD, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "UT",
            "license": "4808543-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank E Peterson, M.D.
• Justin Peterson, MD
• Taylor V Pettit, DDS
• Langston Petty
• Tyler Pew, DO
• Rebecca Phillips, MD
• Brent Pickett
• Baylee Bair Pierce
• Tobi Pierson, RN
• Tanya Pirtle, MSW, CSW

• Pediatric Physical Therapist in Logan, UT
• Providers in Logan, UT by specialty
• Pediatric Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.