Active NPI
Rett Jensen Reber, PT, DPT, OCS, SCS
- Physical Therapist
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP027707T
- Practice address
- 1157 N 300 W Ste 211
Provo, UT 84604-6124 - Phone
- (801) 357-1250
- NPI assigned
- Sep 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1211061 | TX | |
| Sports Physical Therapist | 2251S0007X | 9882 | SC | |
| Physical Therapist | 225100000X | CP027707T | UT | Primary |
Addresses
Primary practice location
1157 N 300 W Ste 211
Provo, UT 84604-6124
Mailing address
PO Box 25537
Salt Lake City, UT 84125-0537
Other practice location 1
10th Medical Group
4102 Pinion Dr
USAF Academy, CO 80840
Phone (406) 781-2983
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1157 N 300
Suite 211
Provo, UT 84604-6124
Phone (801) 357-1250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9882 | SC | MD | Professional Counselor |
| 1211061 | TX | MD | Physical Therapist |
| CP027707T | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Physical Therapist | Current | Accepting new patients |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
1157 N 300 W
Ste 211
Provo, UT 84604
Phone (801) 357-1250
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Salt Lake City, UT
- NPI 1033822085
Physical Therapist
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1629350582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25537",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157 N 300 W STE 211",
"city": "PROVO",
"state": "UT",
"postal_code": "846046124",
"telephone_number": "801-357-1250"
}
],
"practiceLocations": [
{
"address_1": "10th Medical Group",
"address_2": "4102 Pinion Dr",
"address_purpose": "LOCATION",
"city": "USAF Academy",
"state": "CO",
"postal_code": "80840",
"country_code": "US",
"telephone_number": "406-781-2983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REBER",
"first_name": "RETT",
"middle_name": "JENSEN",
"credential": "PT, DPT, OCS, SCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1211061",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "SC",
"license": "9882",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "CP027707T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.