Individual provider Active NPI

Isaac Halliday, DPT

  • Physical Therapist
  • Murray, UT
National Provider Identifier
1467997015
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9644014-2401 Issued in UT
Practice address
6070 S 1300 E Ste 102
Murray, UT 84121-6723
Phone
(385) 743-2757
NPI assigned
Jan 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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 9644014-2401 UT Primary

Addresses

Primary practice location

6070 S 1300 E Ste 102
Murray, UT 84121-6723

Mailing address

1356 W Woodhaven Cir
Taylorsville, UT 84123-4314
Phone (801) 419-4502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lodestar Physical Therapy CurrentSince Apr 23, 2023 Accepting new patients
Professional Physical Therapy and Sports Medicine Physical Therapist PastSince Jun 8, 2024 Accepting new patients

Locations

6070 S 1300 E
Ste 102
Murray, UT 84121
Phone (385) 743-2757

Organizations & group practices 2

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": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1467997015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 W WOODHAVEN CIR",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841234314",
            "telephone_number": "801-419-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 S 1300 E STE 102",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841216723",
            "telephone_number": "385-743-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLIDAY",
        "first_name": "ISAAC",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-05",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "9644014-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.