Brandon M Hepner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4553570-2401 Issued in UT

Practice address

5991 S 3500 W
Suite 300
Roy, UT 84067

Phone

(801) 985-2700

Fax

(801) 985-2707

NPI assigned

Nov 14, 2005

Last updated

Feb 26, 2008By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rock Run Physical Therapy and Rehab Specialists,LLC

  • Physical Therapist
  • Roy, UT
  • NPI 1629012240
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1245211572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3497",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531770300",
            "telephone_number": "877-552-2996",
            "fax_number": "866-245-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5991 S 3500 W",
            "address_2": "SUITE 300",
            "city": "ROY",
            "state": "UT",
            "postal_code": "84067",
            "telephone_number": "801-985-2700",
            "fax_number": "801-985-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPNER",
        "first_name": "BRANDON",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "4553570-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245211572",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Heath, BT
• Marty Nelson Heim, PTA, ATC-L
• Trinity Henderson
• Cooper Henkey
• Hope Henrie
• Heritage Park Rehabilitation and Healthcare Center, LLC
• Jared Don Hiatt, DO
• Allan Hill, LMT
• Walter Wayne Hirsbrunner, D.C.
• Alexa Lauren Hodson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.