Individual provider Active NPI

Brooke Lafayette, PT, DPT

  • Physical Therapist
  • South Ogden, UT
National Provider Identifier
1588276299
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13789678-2401 Issued in UT
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20250815002811 UT Practitioner - Physical Therapist in Private Practice 0648779736 Reassigns benefits to 1 organization

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
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

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

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Aug 1, 2025 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.

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.

Verify at the official NPI Registry.