Individual provider Active NPI

Reed Carter

  • Physical Therapist
  • Provo, UT
National Provider Identifier
1689104812
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11340 Issued in TN
Practice address
3303 N University Ave
Provo, UT 84604-4438
Phone
(801) 373-7438
NPI assigned
Jun 20, 2017
Last updated
Jun 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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 11340 TN Primary

Addresses

Primary practice location

3303 N University Ave
Provo, UT 84604-4438

Mailing address

1926 S Columbia LN
Orem, UT 84097-8004
Phone (901) 361-7403

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170707001505 UT Practitioner - Physical Therapist in Private Practice 5092084020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetic Physical Therapy PLLCGroup PAC ID 7012307473, 4 clinicians

Practice addresses (Care Compare)

5089 W Herriman Blvd
Suite 2B
Herriman, UT 84096-2599
Phone (801) 303-1991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Physical Therapy PLLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
Fyzical Audiology LLC CurrentSince Apr 17, 2020 Accepting new patients

Locations

5089 W Herriman Blvd
Ste 2B
Herriman, UT 84096
Phone (480) 206-1591

3303 N University Ave
Provo, UT 84604
Phone (801) 373-7438

Organizations & group practices 2

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1689104812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 S COLUMBIA LN",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840978004",
            "telephone_number": "901-361-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044438",
            "telephone_number": "801-373-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "REED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11340",
            "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, 2017; 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.