Jacob D Erekson, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

7376354-2401 Issued in UT

Practice address

6321 S Redwood Rd Ste 105
Taylorsville, UT 84123-6799

Phone

(801) 904-3089

Fax

(801) 904-3435

NPI assigned

Jan 26, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elevation Physical Therapy

  • Orthopedic Physical Therapist
  • Riverdale, UT
  • NPI 1134636269
  NPD Authorized official
• Moove PT

  • Orthopedic Physical Therapist
  • Sandy, UT
  • NPI 1447974746
  NPD Authorized official
• Redwood Injury Treatment Center

  • Physical Therapy Clinic/Center
  • Taylorsville, UT
  • NPI 1215398615
  NPD (past) Authorized official

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1407187867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 S REDWOOD RD STE 105",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236799",
            "telephone_number": "801-904-3089",
            "fax_number": "801-904-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 S REDWOOD RD STE 105",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236799",
            "telephone_number": "801-904-3089",
            "fax_number": "801-904-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EREKSON",
        "first_name": "JACOB",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-26",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "7376354-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ashley Ensign
• Sophia Ann Entringer, PHARMD
• Envision Home Health LLC (Envision Healthcare at Home)
• Brock Epperson
• Ryan Erdman
• Madylin Ericksen
• Ella Ertmann
• Jacob Ertmann
• Angelica Escobedo
• Martha Escobedo

• Physical Therapy Clinic/Center in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Physical Therapy Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.