Brandon Imada, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

12206047-1202 Issued in UT

Practice address

12371 S 900 E Ste 101
Draper, UT 84020-9834

Phone

(801) 544-2355

Fax

(385) 529-5922

NPI assigned

Sep 22, 2021

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1174294839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12371 S 900 E STE 101",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209834",
            "telephone_number": "801-544-2355",
            "fax_number": "385-529-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12371 S 900 E STE 101",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209834",
            "telephone_number": "801-544-2355",
            "fax_number": "385-529-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMADA",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "12206047-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.amitmethod.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12371 S 900 E Ste 101",
            "city": "Draper",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840209834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Kelene Imeson
• In Motion Physical Therapy LLC
• Michael Infantino, DPT
• Inner Healing Therapy and Consulting
• Inner Peace Counseling of Utah (Inner Peace)

• Sports Physician Chiropractor in Draper, UT
• Providers in Draper, UT by specialty
• Sports Physician Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.