Individual provider Active NPI

Dane Scott Albrecht, PT, DPT

  • Physical Therapist
  • Orem, UT
National Provider Identifier
1366060139
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11824547-2401 Issued in UT
Practice address
412 W 800 N
Orem, UT 84057-3728
Phone
(801) 235-7246
NPI assigned
Jul 8, 2020
Last updated
May 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11824547-2401 UT Primary

Addresses

Primary practice location

412 W 800 N
Orem, UT 84057-3728

Mailing address

412 W 800 N
Orem, UT 84057-3728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 7012307473, 4 clinicians

Practice addresses (Care Compare)

5089 W Herriman Blvd
Suite 2B
Herriman, UT 84096-2599
Phone (801) 303-1991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11824547-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Kinetic Physical Therapy PLLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Fyzical Audiology LLC CurrentSince Jul 1, 2020 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

11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405

915 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 243-6922

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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1366060139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573728",
            "telephone_number": "801-235-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRECHT",
        "first_name": "DANE",
        "middle_name": "SCOTT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11824547-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.