Active NPI
Brooke Lafayette, PT, DPT
- Physical Therapist
- South Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13789678-2401
- Practice address
- 5926 Fashion Point Dr Ste 200
South Ogden, UT 84403-4713 - Phone
- (801) 334-0904
- NPI assigned
- Aug 24, 2020
- Last updated
- Aug 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13789678-2401 | UT | Primary |
Addresses
Primary practice location
5926 Fashion Point Dr Ste 200
South Ogden, UT 84403-4713
Mailing address
5926 Fashion Point Dr Ste 200
South Ogden, UT 84403-4713
Phone (801) 334-0904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2572 E S Weber Dr
Suite 5
South Weber, UT 84405-9550
Phone (801) 479-7045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Land Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
Locations
2572 E South Weber Dr
South Weber, UT 84405
Phone (801) 479-7045
2572 E South Weber Dr
Ste 5
South Weber, UT 84405
Phone (801) 479-7045
4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1265549372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1588276299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5926 FASHION POINT DR STE 200",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844034713",
"telephone_number": "801-334-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5926 FASHION POINT DR STE 200",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844034713",
"telephone_number": "801-334-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFAYETTE",
"first_name": "BROOKE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2026-08-30",
"certification_date": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "13789678-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.