Reactive Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REACTIVE PHYSICAL THERAPY PLLC

Practice address

550 W 465 N Ste 504
Providence, UT 84332-8014

Phone

(435) 232-5773

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Carley, DPTNPI 1962141192

Title

Member

Phone

(435) 232-5773

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Carley, DPT

  • Physical Therapist
  • Providence, UT
  • NPI 1962141192
  Medicare reassignment Care Compare group NPD Authorized official
• Stuart Logan Parker, PT, DPT

  • Physical Therapist
  • West Valley City, UT
  • NPI 1215649215
  Medicare reassignment Care Compare group NPD
• Brandon Reed, DPT

  • Physical Therapist
  • Providence, UT
  • NPI 1083446207
  Medicare reassignment Care Compare group NPD
• Tanner Sean Lyons, DPT

  • Physical Therapist
  • North Logan, UT
  • NPI 1649102518
  Medicare reassignment Care Compare group
• Joshua Pond Zajac

  • Physical Therapist
  • Norfolk, VA
  • NPI 1841023140

  UT

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1316677305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WILLOW VALLEY RD",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523841",
            "telephone_number": "143-523-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W 465 N STE 504",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843328014",
            "telephone_number": "435-232-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACTIVE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "CARLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "435-232-5773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Lucille Queen, RBT
• Riley Joseph Rampton, DPM
• Lauren Marie Stowers Rasmussen, RDN
• Amy Melinda Rathbone, RBT
• Natasha Kate Rawlins, RBT
• Redwood Dental
• Redwood Dental PDC PLLC
• Brandon Reed, DPT
• Emily J. Rhodes
• Richard T Stevens, MD, PC

• Physical Therapy Clinic/Center in Providence, UT
• Providers in Providence, UT by specialty
• Physical Therapy Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.