Dane Scott Albrecht, PT, DPT
Individual provider Active NPI Physical Therapist · Orem, UT
NPI 1366060139 · NPPES record last updated May 23, 2024
Key facts
- NPI
- 1366060139
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11824547-2401 (UT)
- Practice address
- 412 W 800 N
Orem, UT 84057-3728 - Phone
- (801) 235-7246
- NPI assigned
- Jul 8, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kinetic Physical Therapy PLLC
Practice addresses (Care Compare)
5089 W Herriman Blvd
Suite 2B
Herriman, UT 84096-2599
Phone (801) 303-1991
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT, WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200813002689 | UT | Practitioner - Physical Therapist in Private Practice | 0840615506 | Reassigns benefits to 1 organization |
| I20220202000677 | WA | Practitioner - Physical Therapist in Private Practice | 0840615506 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Kinetic Physical Therapy PLLC | Physical Therapist | Current |
Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Current |
Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Current |
Accepting new patients |
| Fyzical Audiology LLC | Current |
Accepting new patients |
Locations
5089 W Herriman Blvd
Ste 2B
Herriman, UT 84096
Phone (480) 206-1591
3303 N University Ave
Provo, UT 84604
Phone (801) 373-7438
103 E 3rd St
Ste 200
Arlington, WA 98223
Phone (360) 363-4246
915 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 243-6922
11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405
814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900
15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855
925 Frontier Cir E
#100
Lake Stevens, WA 98258
Phone (425) 377-1169
19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991
17020 Twin Lakes Ave
Ste C101
Marysville, WA 98271
Phone (360) 658-8400
709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11824547-2401 | UT | Yes |
Addresses
Primary practice location
412 W 800 N
Orem, UT 84057-3728
Mailing address
412 W 800 N
Orem, UT 84057-3728
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.