Active NPI
Brent Webb
- Physical Therapist
- South Ogden, UT
National Provider Identifier
1154376838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 120650-2401
- Practice address
- 1452 E Ridgeline Dr
#51
South Ogden, UT 84405-4946 - Phone
- (801) 479-5777
- Fax
- (801) 479-7005
- NPI assigned
- May 23, 2006
- 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 | 120650-2401 | UT | Primary |
Addresses
Primary practice location
1452 E Ridgeline Dr
#51
South Ogden, UT 84405-4946
Mailing address
1466 Flint CT
Kaysville, UT 84037-9534
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TPRA10491 | Other | UT | MOLINA PROV # PROVO |
| 577514 | Other | UT | DMBA PROV # OGDEN |
| 107001618103 | Other | UT | IHC ADVOCATES # PROVO |
| 5577514 | Other | UT | DMBA PROV # PROVO |
| TPRA10491 | Other | UT | MOLINA PROV # OGDEN |
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, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1452 E Ridgeline Dr
Suite 51
South Ogden, UT 84405-4949
Phone (801) 479-5777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120650-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webb Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
Locations
2545 N Canyon Rd
Ste 112
Provo, UT 84604
Phone (571) 295-5148
1452 E Ridgeline Dr
Ste 51
South Ogden, UT 84405
Phone (801) 479-5777
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 and National Provider Directory roles.
-
- Physical Therapist
- South Ogden, UT
- NPI 1689627564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154376838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1466 FLINT CT",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840379534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1452 E RIDGELINE DR",
"address_2": "#51",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844054946",
"telephone_number": "801-479-5777",
"fax_number": "801-479-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "BRENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "120650-2401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA PROV # PROVO",
"identifier": "TPRA10491",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA PROV # OGDEN",
"identifier": "577514",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC ADVOCATES # PROVO",
"identifier": "107001618103",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA PROV # PROVO",
"identifier": "5577514",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA PROV # OGDEN",
"identifier": "TPRA10491",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.