Individual provider Active NPI

Bradley Hansen, PT, DPT

  • Physical Therapist
  • North Ogden, UT
National Provider Identifier
1497210777
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2369 N 400 E
North Ogden, UT 84414-7232
Phone
(801) 728-4624
Fax
(801) 776-3087
NPI assigned
Jan 31, 2019
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

2369 N 400 E
North Ogden, UT 84414-7232

Mailing address

1868 N 1200 W Ste a
Layton, UT 84041-1937
Phone (801) 675-0608

Other practice location 1

1868 N 1200 W Ste A
Layton, UT 84041-1937
Phone (801) 728-4624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730003961 UT Practitioner - Physical Therapist in Private Practice 2062753395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhodes Physical Therapy IncGroup PAC ID 5395042519, 7 clinicians

Practice addresses (Care Compare)

722 Shepard LN
Suite 105
Farmington, UT 84025-3845
Phone (801) 447-9339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodes Physical Therapy of Ca Apc Physical Therapist CurrentSince Aug 17, 2025 Accepting new patients
Rhodes Physical Therapy, Inc Physical Therapist CurrentSince Mar 7, 2025 Accepting new patients

Locations

722 Shepard Ln
Ste 105
Farmington, UT 84025
Phone (801) 447-9339

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1497210777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 N 1200 W STE A",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411937",
            "telephone_number": "801-675-0608",
            "fax_number": "801-776-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2369 N 400 E",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844147232",
            "telephone_number": "801-728-4624",
            "fax_number": "801-776-3087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1868 N 1200 W Ste A",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840411937",
            "country_code": "US",
            "telephone_number": "801-728-4624",
            "fax_number": "801-776-3087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "BRADLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-31",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.