Joshua Brown, DPT
Individual provider Active NPI Physical Therapist · Roy, UT
NPI 1154515328 · NPPES record last updated Mar 6, 2019
Key facts
- NPI
- 1154515328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 49963892401 (UT)
- Practice address
- 5991 S 3500 W
Suite 300
Roy, UT 84067-6701 - Phone
- (801) 985-2700
- NPI assigned
- Aug 30, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rock Run Physical Therapy and Rehab Specialists,LLC
Practice addresses (Care Compare)
5991 S 3500
Suite 300
Roy, UT 84067-6702
Phone (801) 985-2700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070926001225 | UT | Practitioner - Physical Therapist in Private Practice | 3375638042 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49963892401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Run Physical Therapy and Rehab Specialists,LLC | Physical Therapist | Current |
Accepting new patients |
| Daniel J. Hansen, D.O., PLLC | Past | Accepting new patients |
Locations
5991 S 3500 W
Ste 300
Roy, UT 84067
Phone (801) 985-2700
736 S 2000 W
Ste 1
Syracuse, UT 84075
Phone (801) 399-3324
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 49963892401 | UT | Yes |
Addresses
Primary practice location
5991 S 3500 W
Suite 300
Roy, UT 84067-6701
Mailing address
736 S 2000 W
Ste 1
Syracuse, UT 84075-9691
Phone (801) 896-9200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154515328 | Medicaid | UT |
Other providers in Roy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.