Individual provider Active NPI

Brent Webb

  • Physical Therapist
  • South Ogden, UT
National Provider Identifier
1154376838
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
120650-2401 Issued in UT
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

Updated by the provider on Jul 13, 2026

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 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

IdentifierTypeStateIssuer
TPRA10491OtherUTMOLINA PROV # PROVO
577514OtherUTDMBA PROV # OGDEN
107001618103OtherUTIHC ADVOCATES # PROVO
5577514OtherUTDMBA PROV # PROVO
TPRA10491OtherUTMOLINA PROV # OGDEN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312000992 UT Practitioner - Physical Therapist in Private Practice 6800785247 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
120650-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Webb Physical Therapy Inc. Physical Therapist CurrentSince Sep 10, 2002 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.

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.

Verify at the official NPI Registry.