Active NPI
Joshua Owen Tilley, DPT
- Physical Therapist
- West Valley City, UT
National Provider Identifier
1285874123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7119397-2401
- Practice address
- 3725 W 4100 S
West Valley City, UT 84120-5530 - Phone
- (801) 965-3545
- Fax
- (801) 965-3518
- NPI assigned
- Mar 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7119397-2401 | UT | Primary |
Addresses
Primary practice location
3725 W 4100 S
West Valley City, UT 84120-5530
Mailing address
PO Box 307
Bountiful, UT 84011-0307
Phone (801) 294-6907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Michigan Ave
Orofino, ID 83544-9001
Phone (208) 476-9365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7119397-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy P C | Physical Therapist | Current | Accepting new patients |
| Paula Elrod, PT, PC | Physical Therapist | Past | Accepting new patients |
| Rocky Mountain Therapy Services Texas LLC | Physical Therapist | Past | Accepting new patients |
| Grantsville Physical Therapy PLLC | Physical Therapist | Past | Accepting new patients |
Locations
678 Southway Ave
Lewiston, ID 83501
Phone (208) 746-1418
1174 Alturas Dr
Ste 2
Moscow, ID 83843
Phone (208) 375-0666
1005 Michigan Ave
Orofino, ID 83544
Phone (208) 375-0666
Organizations & group practices 4
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.
-
- Physical Therapist
- Boise, ID
- NPI 1073551560
-
- Physical Therapist
- Grantsville, UT
- NPI 1487672580
-
- Physical Therapist
- Odessa, TX
- NPI 1326198292
-
- Physical Therapist
- Odessa, TX
- NPI 1417240771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1285874123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840110307",
"telephone_number": "801-294-6907",
"fax_number": "801-294-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 W 4100 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841205530",
"telephone_number": "801-965-3545",
"fax_number": "801-965-3518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLEY",
"first_name": "JOSHUA",
"middle_name": "OWEN",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-05",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "7119397-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.