Individual provider Active NPI

Alexander James Bravo, D.P.T.

  • Physical Therapist
  • Ogden, UT
National Provider Identifier
1548552300
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7963402-2401 Issued in UT
Practice address
955 Chambers St Ste 150
Ogden, UT 84403-4877
Phone
(801) 689-2495
Fax
(801) 689-2762
NPI assigned
May 11, 2011
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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 7963402-2401 UT Primary

Addresses

Primary practice location

955 Chambers St Ste 150
Ogden, UT 84403-4877

Mailing address

955 Chambers St Ste 150
Ogden, UT 84403-4877
Phone (801) 689-2495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000016 UT Practitioner - Physical Therapist in Private Practice 1850569062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

955 Chambers St
Suite 150
Ogden, UT 84403-4877
Phone (801) 689-2495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Clinic-Physical Therapy & Human Performance Inc Physical Therapist CurrentSince Jun 29, 2015 Accepting new patients
Performance West Physical Therapy Physical Therapist PastSince Sep 1, 2014 Accepting new patients

Locations

955 Chambers St
#G1
South Ogden, UT 84403
Phone (801) 941-2137

955 Chambers St
Ste 150
South Ogden, UT 84403
Phone (801) 689-2495

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1548552300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CHAMBERS ST STE 150",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034877",
            "telephone_number": "801-689-2495",
            "fax_number": "801-689-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CHAMBERS ST STE 150",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034877",
            "telephone_number": "801-689-2495",
            "fax_number": "801-689-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "ALEXANDER",
        "middle_name": "JAMES",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "7963402-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.