NPIMap

Individual provider Active NPI

Brendan Bagley, PT, DPT

  • Physical Therapist
  • Lehi, UT
National Provider Identifier
1174508154
Registry record updated Sep 9, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
48617222401 Issued in UT
Practice address
1202 N Cedar Hollow Blvd
Lehi, UT 84043-1381
Phone
(801) 787-1436
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Physical Therapist 2251E1200X 48617222401 UT
Orthopedic Physical Therapist 2251X0800X 48617222401 UT
Physical Therapist 225100000X 48617222401 UT Primary

Addresses

Primary practice location

1202 N Cedar Hollow Blvd
Lehi, UT 84043-1381

Mailing address

1202 N Cedar Hollow Blvd
Lehi, UT 84043-1381
Phone (801) 787-1436

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brendan@motus-physicaltherapy.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
48617222401UTMDErgonomics Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Comprehensive Medical LLC PastSince Jan 2, 2001 Accepting new patients
Pioneer Injury Care Past Accepting new patients

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1174508154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 N CEDAR HOLLOW BLVD",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840431381",
            "telephone_number": "801-787-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N CEDAR HOLLOW BLVD",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840431381",
            "telephone_number": "801-787-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "BRENDAN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "UT",
            "license": "48617222401",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "48617222401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "48617222401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brendan@motus-physicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1202 N Cedar Hollow Blvd",
            "city": "Lehi",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840431381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.