Individual provider Active NPI

Thomas Eastman, DPT

  • Physical Therapist
  • Springville, UT
National Provider Identifier
1396302824
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11305653-2401 Issued in UT
Practice address
380 E 400 S
Springville, UT 84663-1958
Phone
(801) 489-5669
Fax
(801) 489-5783
NPI assigned
May 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 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 11305653-2401 UT Primary

Addresses

Primary practice location

380 E 400 S
Springville, UT 84663-1958

Mailing address

380 E 400 S
Springville, UT 84663-1958
Phone (801) 489-5669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231103001167 UT Practitioner - Physical Therapist in Private Practice 4082061619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of the Incarnate Word School of Osteo Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

380 E 400
Springville, UT 84663-1958
Phone (801) 489-5669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical & Sports Therapy Services, LLC Physical Therapist CurrentSince Jun 26, 2024 Accepting new patients
Physical & Sports Therapy Services, LLC CurrentSince Jun 26, 2024 Accepting new patients
Ihc Health Services Inc Physical Therapist CurrentSince Sep 23, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 23, 2023 Accepting new patients

Locations

684 W 800 N
#110
Orem, UT 84057
Phone (801) 224-2250

1157 N 300 W
Ste 211
Provo, UT 84604
Phone (801) 357-1250

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

765 E Market Place Dr
Spanish Fork, UT 84660
Phone (385) 344-5000

380 E 400 S
Springville, UT 84663
Phone (801) 472-4657

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.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1396302824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 400 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631958",
            "telephone_number": "801-489-5669",
            "fax_number": "801-489-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E 400 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631958",
            "telephone_number": "801-489-5669",
            "fax_number": "801-489-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11305653-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.