Brian K Peterson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6195947-2401 Issued in UT

Practice address

41 E. 1140 N. Suite a
Saratoga Springs, UT 84045

Phone

(801) 768-3105

Fax

(801) 766-0188

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lehi Physical Therapy LLCGroup PAC ID 0941222566, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lehi Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Saratoga Springs, UT
  • NPI 1811926538
  Medicare reassignment Care Compare group Authorized official
• Physical Therapy at the Crossroads

  • Physical Therapist
  • Saratoga Springs, UT
  • NPI 1699895797
  NPD (past)
• Westside Physical Therapy and Sports Medicine Inc PS

  • Physical Therapist
  • Yakima, WA
  • NPI 1821080987
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1306865027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E. 1140 N. SUITE A",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "84045",
            "telephone_number": "801-768-3105",
            "fax_number": "801-766-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E. 1140 N. SUITE A",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "84045",
            "telephone_number": "801-768-3105",
            "fax_number": "801-766-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRIAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6195947-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Parker
• PBJF
• Kelly Peacock
• Sophia Peine
• David Petersen
• Carley Phillips
• Physical Therapy at the Crossroads
• Ava Pickett
• Jonathan David Pierce, PT, DPT
• Justin Pitcher

• Physical Therapist in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.