Jacob Ford Reid, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13968516-2401 Issued in UT

Practice address

185 S 400 E Ste 207
Bountiful, UT 84010-4861

Phone

(801) 797-9105

Fax

(385) 777-5109

NPI assigned

May 20, 2024

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance West Physical TherapyGroup PAC ID 4789649047, 11 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.

• Performance West Physical Therapy

  • Physical Therapist
  • Bountiful, UT
  • NPI 1720148240
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1225877343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR STE 350",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107674",
            "telephone_number": "801-295-3553",
            "fax_number": "801-295-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S 400 E STE 207",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104861",
            "telephone_number": "801-797-9105",
            "fax_number": "385-777-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JACOB",
        "middle_name": "FORD",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13968516-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaeley Reeder
• Randy Scott Reese, MD
• Abbie Reeves
• Reflections Optical
• Regina W. Drueding, M.D. PC
• Kim Wayne Reid, PT
• Renew Home Health Inc
• Peyton Rennix
• Resilient Solutions, Inc.
• Resolutions, Inc.

• Physical Therapist in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.