Active NPI
Matthew Jerry Hobbs, DPT
- Physical Therapist
- South Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10915311-2401
- Practice address
- 1868 W 9800 S Ste 200
South Jordan, UT 84095 - Phone
- (801) 676-2210
- Fax
- (801) 676-2212
- NPI assigned
- Jul 19, 2018
- Last updated
- Oct 31, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10915311-2401 | UT | Primary |
Addresses
Primary practice location
1868 W 9800 S Ste 200
South Jordan, UT 84095
Mailing address
9844 S 1300 E
Ste 300
Sandy, UT 84094-4693
Phone (801) 572-0690
Other practice location 1
1577 W 7000 S Ste 100
West Jordan, UT 84084-7493
Phone (801) 566-6301
Other practice location 2
1868 W 9800 S Ste 200
South Jordan, UT 84095
Phone (801) 676-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11531 S District Dr
Suite 1200
South Jordan, UT 84095-5782
Phone (801) 260-3100
1425 S 1500
Clearfield, UT 84015-1621
Phone (512) 327-4444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10915311-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Neurological Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Pack Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients |
Locations
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
11531 S District Dr
Ste 1200
South Jordan, UT 84095
Phone (801) 260-3100
11531 S District Dr
Ste 900
South Jordan, UT 84095
Phone (801) 260-3100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ImPackt Physical Therapy and Sports Recovery
- Physical Therapist
- South Jordan, UT
- NPI 1336413798
-
- Rehabilitation Clinic/Center
- Billings, MT
- NPI 1225496540
Physical Therapist, UT
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1144706466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9844 S 1300 E",
"address_2": "STE 300",
"city": "SANDY",
"state": "UT",
"postal_code": "840944693",
"telephone_number": "801-572-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1868 W 9800 S STE 200",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "84095",
"telephone_number": "801-676-2210",
"fax_number": "801-676-2212"
}
],
"practiceLocations": [
{
"address_1": "1577 W 7000 S Ste 100",
"address_purpose": "LOCATION",
"city": "West Jordan",
"state": "UT",
"postal_code": "840847493",
"country_code": "US",
"telephone_number": "801-566-6301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1868 W 9800 S Ste 200",
"address_purpose": "LOCATION",
"city": "South Jordan",
"state": "UT",
"postal_code": "84095",
"country_code": "US",
"telephone_number": "801-676-2210",
"fax_number": "801-676-2212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOBBS",
"first_name": "MATTHEW",
"middle_name": "JERRY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-19",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "10915311-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.