Individual provider Active NPI

Erica Lin Brown, PT, DPT

  • Physical Therapist
  • West Jordan, UT
National Provider Identifier
1154035954
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12907728-2401 Issued in UT
Practice address
8789 S Redwood Rd Ste 100
West Jordan, UT 84088-5742
Phone
(801) 981-5977
Fax
(801) 839-7190
NPI assigned
Jan 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 12907728-2401 UT Primary

Addresses

Primary practice location

8789 S Redwood Rd Ste 100
West Jordan, UT 84088-5742

Mailing address

8789 S Redwood Rd Ste 100
West Jordan, UT 84088-5742
Phone (801) 981-5977

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address EBROWN665654@DIRECT.MED.UTAH.EDU Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12907728-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Go PT Physical Therapist CurrentSince Jan 8, 2023 Accepting new patients
Stepup Physical Therapy Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients

Locations

8789 S Redwood Rd
Ste 100
West Jordan, UT 84088
Phone (801) 792-9189

Interoperability endpoints

  • Direct secure messaging: ebrown665654@direct.med.utah.edu

Organizations & group practices 2

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": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1154035954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8789 S REDWOOD RD STE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885742",
            "telephone_number": "801-981-5977",
            "fax_number": "801-839-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8789 S REDWOOD RD STE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885742",
            "telephone_number": "801-981-5977",
            "fax_number": "801-839-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ERICA",
        "middle_name": "LIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12907728-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EBROWN665654@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.