Active NPI
Bryan Johannes Smith, PT, DPT
- Physical Therapist
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13350792-2401
- Practice address
- 652 S Medical Center Dr
St George, UT 84790-7049 - Phone
- (435) 251-2250
- NPI assigned
- May 10, 2023
- 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 | 13350792-2401 | UT | Primary |
Addresses
Primary practice location
652 S Medical Center Dr
St George, UT 84790-7049
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Physical Therapist | Current | Accepting new patients |
Locations
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
652 S Medical Center Dr
St George, UT 84790
Phone (435) 251-2250
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
652 S Medical Center Dr
Ste LL10
St George, UT 84790
Phone (435) 251-2250
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
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.
-
dba Intermountain Professional Radiology Services
- Diagnostic Radiology Physician
- Provo, UT
- NPI 1003291568
-
dba Intermountain Physical Therapy and Rehabilitation
- Rehabilitation Clinic/Center
- Salt Lake City, UT
- NPI 1033822085
Physical Therapist
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1326738576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 S MEDICAL CENTER DR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907049",
"telephone_number": "435-251-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRYAN",
"middle_name": "JOHANNES",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-10",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "13350792-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.