Jeremy Kevin Ensign

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13960851-2401 Issued in UT

Practice address

1628 W 11010 S Ste 101
South Jordan, UT 84095-1278

Phone

(801) 613-1890

Fax

(801) 613-2909

NPI assigned

May 10, 2024

Last updated

May 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

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)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Foundation Physical Therapy

  • Physical Therapist
  • South Jordan, UT
  • NPI 1194318907
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1528816808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 W 11010 S STE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840951278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 W 11010 S STE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840951278",
            "telephone_number": "801-613-1890",
            "fax_number": "801-613-2909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 E Fort Union Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cottonwood Heights",
            "state": "UT",
            "postal_code": "840471881",
            "country_code": "US",
            "telephone_number": "801-405-9272",
            "fax_number": "801-613-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENSIGN",
        "first_name": "JEREMY",
        "middle_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13960851-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian M Ely, DO
• Emerald Improvement Center
• Empowered Rehab LLC
• Empowerful LLC Dba Goodnight Sleep Therapy
• Sadie Jeanette Ence
• Marc Enslow, DMD
• McKenna Lynn Erasmus
• Natasha Esprit
• David Adams Evans, DDS, MD
• Elizabeth Sebranek Evans, PHARMD

• Physical Therapist in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.