Individual provider Active NPI

Muzamil Faizi

  • Physical Therapist
  • Provo, UT
National Provider Identifier
1396619086
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14237652-2401 Issued in UT
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.

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 14 clinicians

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
14237652-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryseup Rehab Limited Liability Company Physical Therapist CurrentSince Nov 4, 2025 Accepting new patients

Locations

404 W 2230 N
Provo, UT 84604
Phone (801) 449-0253

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14237652-2401 UT Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.