NPIMap

Organization Active NPI

Foundation Physical Therapy

  • Physical Therapist
  • South Jordan, UT
National Provider Identifier
1194318907
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FOUNDATION PHYSICAL THERAPY
Practice address
1628 W 11010 S Ste 101
South Jordan, UT 84095-1278
Phone
(801) 419-1196
NPI assigned
Feb 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Bradley James Powell, DPTNPI 1568055366
Title
Ceo
Phone
(801) 419-1196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1628 W 11010 S Ste 101
South Jordan, UT 84095-1278

Mailing address

1628 W 11010 S Ste 101
South Jordan, UT 84095-1278

Other practice location 1

11962 S Anthem Park Blvd Ste 250
Herriman, UT 84096-5732
Phone (801) 981-5171

Other practice location 2

1225 E Fort Union Blvd
Cottonwood Heights, UT 84047-1889
Phone (801) 405-9272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210811003537 UT Part B Supplier - Clinic/Group Practice 6204230394 Receives reassigned benefits from 13 practitioners
Practice locations: Herriman, UT; South Jordan, UT; Cottonwood Heights, UT

National Provider Directory

National Provider Directory

Locations

1225 E Fort Union Blvd
Ste 100
Cottonwood Heights, UT 84047
Phone (385) 213-2518

11962 S Anthem Park Blvd
Ste 250
Herriman, UT 84096
Phone (385) 473-6438

1628 W 11010 S
Ste 101
South Jordan, UT 84095
Phone (801) 419-1196

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1194318907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 W 11010 S STE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840951278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 W 11010 S STE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840951278",
            "telephone_number": "801-419-1196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11962 S Anthem Park Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Herriman",
            "state": "UT",
            "postal_code": "840965732",
            "country_code": "US",
            "telephone_number": "801-981-5171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 E Fort Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Cottonwood Heights",
            "state": "UT",
            "postal_code": "840471889",
            "country_code": "US",
            "telephone_number": "801-405-9272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-419-1196",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.