Individual provider Active NPI

Aleksandr Eyre

  • Physical Therapist
  • Cottonwood Heights, UT
National Provider Identifier
1407744451
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1225 E Fort Union Blvd Ste 100
Cottonwood Heights, UT 84047-1881
Phone
(801) 613-1890
NPI assigned
Jun 26, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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 Primary

Addresses

Primary practice location

1225 E Fort Union Blvd Ste 100
Cottonwood Heights, UT 84047-1881

Mailing address

1225 E Fort Union Blvd Ste 100
Cottonwood Heights, UT 84047-1881

Other practice location 1

1628 W 11010 S Ste 101
South Jordan, UT 84095-1278
Phone (801) 613-1890

Other practice location 2

11962 S Anthem Park Blvd Ste 250
Herriman, UT 84096-5732
Phone (801) 981-5171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250714001550 UT Practitioner - Physical Therapist in Private Practice 4284149881 Reassigns benefits to 1 organization

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
Foundation Physical TherapyGroup PAC ID 6204230394, 12 clinicians

Practice addresses (Care Compare)

1225 E Fort Union Blvd
Suite 100
Cottonwood Heights, UT 84047-1881
Phone (801) 405-9272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Physical Therapy Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients

Locations

1225 E Fort Union Blvd
Ste 100
Cottonwood Heights, UT 84047
Phone (385) 213-2518

11962 S Anthem Park Blvd
Ste 250
Herriman, UT 84096
Phone (385) 473-6438

1628 W 11010 S
Ste 101
South Jordan, UT 84095
Phone (801) 419-1196

Organizations & group practices 1

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": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1407744451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E FORT UNION BLVD STE 100",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E FORT UNION BLVD STE 100",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471881",
            "telephone_number": "801-613-1890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1628 W 11010 S Ste 101",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840951278",
            "country_code": "US",
            "telephone_number": "801-613-1890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11962 S Anthem Park Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Herriman",
            "state": "UT",
            "postal_code": "840965732",
            "country_code": "US",
            "telephone_number": "801-981-5171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EYRE",
        "first_name": "ALEKSANDR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.