Stuart Logan Parker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

131555632401 Issued in UT

Practice address

4785 W 4100 S
West Valley City, UT 84120-4959

Phone

(385) 393-6711

NPI assigned

Dec 21, 2022

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

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reactive Physical Therapy PLLCGroup PAC ID 2264811157, 5 clinicians

Complete Fitness Innovations IncGroup PAC ID 5395790752, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Reactive Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Providence, UT
  • NPI 1316677305

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Complete Fitness Innovations Inc

  • Physical Therapist
  • Smithfield, UT
  • NPI 1417125675
  Medicare reassignment Care Compare group
• Meier & Marsh Professional

  • Physical Therapist
  • Tooele, UT
  • NPI 1639195472
  Medicare reassignment NPD

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1215649215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9995 S FLORENCE WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958808",
            "telephone_number": "801-604-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 W 4100 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841204959",
            "telephone_number": "385-393-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "STUART",
        "middle_name": "LOGAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "131555632401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Palfreyman
• Lombardo F Palma, M.D, M.S.P.H
• Norma Panigot
• Broc D Parker, DO
• Robert Gil Parker, DO
• Chris Partridge, PA-C
• Nina Pasquarelli
• Alyssa Jitendra Patel
• Paul C Bruderer O D P C (West Valley Vision Source)
• Leilani Paul

• Physical Therapist in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.