Organization Active NPI

Iron Horse PT

  • Physical Therapist
  • Park City, UT
National Provider Identifier
1407861271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IRON HORSE PT
Practice address
1225 Iron Horse Drive
Park City, UT 84060
Phone
(435) 649-7335
Fax
(435) 649-7568
NPI assigned
Jul 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brandon JuddNPI 1407876667
Title
Therapist
Phone
(435) 649-7335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1225 Iron Horse Drive
Park City, UT 84060

Mailing address

PO Box 982017
Park City, UT 84098-2017
Phone (435) 649-7335

National Provider Directory

National Provider Directory

Locations

1225 Iron Horse Dr
Park City, UT 84060
Phone (435) 649-7335

1255 Iron Horse Dr
Park City, UT 84060
Phone (435) 649-1542

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407861271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 982017",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840982017",
            "telephone_number": "435-649-7335",
            "fax_number": "435-649-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 IRON HORSE DRIVE",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "84060",
            "telephone_number": "435-649-7335",
            "fax_number": "435-649-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON HORSE PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "435-649-7335"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.