Individual provider Active NPI

Bradley James Powell, DPT

  • Physical Therapist
  • Cottonwood Heights, UT
National Provider Identifier
1568055366
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11293819-2401 Issued in UT
Practice address
1225 E Fort Union Blvd
Cottonwood Heights, UT 84047-1889
Phone
(801) 405-9272
NPI assigned
Feb 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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 11293819-2401 UT Primary

Addresses

Primary practice location

1225 E Fort Union Blvd
Cottonwood Heights, UT 84047-1889

Mailing address

1628 W 11010 S Ste 101
South Jordan, UT 84095-1278
Phone (208) 287-9420

Other practice location 1

11962 S Anthem Park Blvd Ste 250
Herriman, UT 84096-5732
Phone (385) 473-6438

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811003658 UT Practitioner - Physical Therapist in Private Practice 8921402017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
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)

1628 W 11010
Suite 101
South Jordan, UT 84095-1278
Phone (801) 613-1890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Physical Therapy Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients

Locations

1940 S Bonito Way
Ste 190
Meridian, ID 83642

1225 E Fort Union Blvd
Ste 100
Cottonwood Heights, UT 84047
Phone (385) 213-2518

11962 S Anthem Park Blvd
Ste 250
Herriman, UT 84096
Phone (385) 473-6438

1225 E Fort Union Blvd
Midvale, UT 84047
Phone (801) 405-9272

1628 W 11010 S
Ste 101
South Jordan, UT 84095
Phone (801) 419-1196

Organizations & group practices 1

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": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1568055366",
    "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",
            "telephone_number": "208-287-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E FORT UNION BLVD",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471889",
            "telephone_number": "801-405-9272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11962 S Anthem Park Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Herriman",
            "state": "UT",
            "postal_code": "840965732",
            "country_code": "US",
            "telephone_number": "385-473-6438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11293819-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.