Mobile Physical Therapy Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOBILE PHYSICAL THERAPY SERVICES, LLC

Practice address

68 N 2830 W
Provo, UT 84601-2135

Phone

(801) 318-5633

NPI assigned

Oct 27, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandon Niel Smith, DPTNPI 1023602257

Title

Physical Therapist

Phone

(801) 310-2207

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22915/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Niel Smith, DPT

  • Physical Therapist
  • Provo, UT
  • NPI 1023602257
  NPD Authorized official
• Timothy David Anderson, MPT

  • Physical Therapist
  • Mapleton, UT
  • NPI 1922483510
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1659971000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 N 2830 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012135",
            "telephone_number": "801-310-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 N 2830 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012135",
            "telephone_number": "801-318-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PHYSICAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "NIEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-310-2207",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Rene Mitchell
• Patrick Andrew Mitchell
• Yoshiko Miyake, MA, CMHC
• Josef Miyasato
• Scott Curtis Moberg, DO
• Modern Shoe, Inc.
• Samantha Moeai, LCSW
• Keilani Leslie Moeaki
• Krosbi Moesinger
• Tanner Moffat

• Physical Therapist in Provo, UT
• Providers in Provo, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.