Active NPI
Muzamil Faizi
- Physical Therapist
- Provo, UT
National Provider Identifier
1396619086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14237652-2401
- Practice address
- 404 W 2230 N
Provo, UT 84604-1576 - Phone
- (801) 449-0253
- Fax
- (385) 314-3411
- NPI assigned
- Oct 3, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Pain Medicine Physician
- South Jordan, UT
- NPI 1568168102
-
- Physical Therapist
- Provo, UT
- NPI 1699470609
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Functional Medicine, LLC
Practice addresses (Care Compare)
10376 S Jordan Gtwy
South Jordan, UT 84095-3954
Phone (801) 816-0332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251121003991 | UT | Practitioner - Physical Therapist in Private Practice | 7618469115 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14237652-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryseup Rehab Limited Liability Company | Physical Therapist | Current | Accepting new patients |
Locations
404 W 2230 N
Provo, UT 84604
Phone (801) 449-0253
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14237652-2401 | UT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
404 W 2230 N
Provo, UT 84604-1576
Mailing address
404 W 2230 N
Provo, UT 84604-1576
Phone (801) 449-0253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 3, 2025.
{
"created_epoch": "1759449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1396619086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 W 2230 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846041576",
"telephone_number": "801-449-0253",
"fax_number": "385-314-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W 2230 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846041576",
"telephone_number": "801-449-0253",
"fax_number": "385-314-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIZI",
"first_name": "MUZAMIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-03",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "14237652-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.