Webb Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

120650-2401 Issued in UT

Legal business name

WEBB PHYSICAL THERAPY INC

Doing business as

Horizon Balance and Dizziness Center

Practice address

280 River Park Dr
#350
Provo, UT 84604-5764

Phone

(801) 229-1054

Fax

(801) 479-7005

NPI assigned

May 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brent WebbNPI 1154376838

Title

President

Phone

(801) 479-5777

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Horizon Balance and Dizziness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Webb Physical Therapy Inc.

  dba Horizon Balance and Dizziness

  • Physical Therapist
  • South Ogden, UT
  • NPI 1689627564

  O20040323001897

  Same enrollment

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Webb

  • Physical Therapist
  • South Ogden, UT
  • NPI 1154376838
  Authorized official Same address or phone
• D. Alan Nybo, PT

  • Physical Therapist
  • Provo, UT
  • NPI 1215042999
  NPD (past)
• August Benjamin Privratsky Jr., PT, CP

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1467589358
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306891080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 E RIDGELINE DR",
            "address_2": "#51",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054946",
            "telephone_number": "801-479-5777",
            "fax_number": "801-479-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 RIVER PARK DR",
            "address_2": "#350",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045764",
            "telephone_number": "801-229-1054",
            "fax_number": "801-479-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBB PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-479-5777"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "120650-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FED. PROVIDER #",
            "identifier": "52783656808001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TRAD. PROVIDER #",
            "identifier": "52783656808001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA PROVIDER #",
            "identifier": "577514",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA PROVIDER #",
            "identifier": "TPRA10491",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC ADVOCATES #",
            "identifier": "107001618103",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Balance and Dizziness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Cathleen Watts, SLP-CCC
• Dana Lyn Waugh, AUD
• Sabrina Wayment
• Easton E Weaver
• Patricia Anne Weaver, LCSW
• Dallin Jarom Webb
• Gary Webb, APRN
• Jason Mark Webb, LCSW, ASUDC
• Jeremy Stuart Webb, HSW
• Nicole Marie Webb

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.