Individual provider Active NPI

David Reese

  • Physical Therapist
  • Broomfield, CO
National Provider Identifier
1477918258
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP053232T Issued in CO
Practice address
340 E 1St Ave Ste 307
Broomfield, CO 80020-2454
Phone
(303) 222-4312
NPI assigned
Dec 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP050654T UT
Physical Therapist 225100000X 65463 OR
Physical Therapist 225100000X CP053232T CO Primary

Addresses

Primary practice location

340 E 1St Ave Ste 307
Broomfield, CO 80020-2454

Mailing address

340 E 1St Ave Ste 307
Broomfield, CO 80020-2454

Other practice location 1

204 S Willey Way Ste 101
Salt Lake City, UT 84104-6031
Phone (801) 975-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240906000621 OR Practitioner - Physical Therapist in Private Practice 1557801479 Reassigns benefits to 1 organization
I20260119000364 UT Practitioner - Physical Therapist in Private Practice 1557801479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians
Gateway Sports Medicine and Rehabilitation PCGroup PAC ID 4385617489, 8 clinicians
Registered Physical Therapists IncGroup PAC ID 9537151733, 64 clinicians

Practice addresses (Care Compare)

1153 E 3900
Salt Lake City, UT 84124-1201
Phone (801) 262-6331

4179 S Riverboat Rd
Suite 110
Taylorsville, UT 84123-2595
Phone (801) 337-4475

441 S Redwood Rd
Suite 200
Salt Lake City, UT 84104-3539
Phone (801) 695-9428

4734 River Rd N
Keizer, OR 97303-4536
Phone (503) 967-7874

74 E 500
Suite 104
Bountiful, UT 84010-6200
Phone (801) 292-5011

9844 S 1300
Suite 200
Sandy, UT 84094-4689
Phone (801) 572-0099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP053232TCOMDPhysical Therapist
65463ORMDPhysical Therapist
CP050654TUTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Gateway Sports Medicine & Rehabilitation PC Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Registered Physical Therapists LLC CurrentSince Dec 1, 2025 Accepting new patients
Pivot Health Acupuncture PastSince Jan 28, 2024 Accepting new patients

Locations

8810 SE Sunnybrook Blvd
Ste 100
Clackamas, OR 97015
Phone (503) 261-1120

4734 River Rd N
Keizer, OR 97303
Phone (503) 463-4663

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

9844 S 1300 E
Ste 200
Sandy, UT 84094
Phone (801) 572-0690

9844 S 1300 E
Ste 300
Sandy, UT 84094
Phone (801) 572-0690

4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475

1577 W 7000 S
Ste 100
West Jordan, UT 84084
Phone (801) 566-6301

Organizations & group practices 4

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": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1477918258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 1ST AVE STE 307",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 1ST AVE STE 307",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202454",
            "telephone_number": "303-222-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 S Willey Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841046031",
            "country_code": "US",
            "telephone_number": "801-975-1600",
            "fax_number": "801-975-1666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-22",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "CP050654T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65463",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP053232T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.