Webb Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

120650-2401 Issued in UT

Legal business name

WEBB PHYSICAL THERAPY INC.

Doing business as

Horizon Balance and Dizziness

Practice address

1452 E Ridgeline Dr
#51
South Ogden, UT 84405-4946

Phone

(801) 479-5777

Fax

(801) 479-7005

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Brent WebbNPI 1154376838

Title

President

Phone

(801) 479-5777

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Horizon Balance and Dizziness Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Webb Physical Therapy Inc

  dba Horizon Balance and Dizziness Center

  • Physical Therapist
  • Provo, UT
  • NPI 1306891080

  O20040323001897

  Same enrollment

Locations

Practitioners 3

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

• Brent Webb

  • Physical Therapist
  • South Ogden, UT
  • NPI 1154376838
  Medicare reassignment NPD Authorized official
• D. Alan Nybo, PT

  • Physical Therapist
  • Provo, UT
  • NPI 1215042999
  NPD (past)
• August Benjamin Privratsky Jr., PT, CP

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1467589358
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689627564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 E RIDGELINE DR",
            "address_2": "#51",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054946",
            "telephone_number": "801-479-5777",
            "fax_number": "801-479-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 E RIDGELINE DR",
            "address_2": "#51",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054946",
            "telephone_number": "801-479-5777",
            "fax_number": "801-479-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBB PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-479-5777"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "120650-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "527836568012",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TRAD. PROVIDER #",
            "identifier": "52783656808001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA PROVIDER #",
            "identifier": "TPRA10491",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FED. PROVIDER #",
            "identifier": "52783656808001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA PROVIDER #",
            "identifier": "577514",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Balance and Dizziness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hannah Westmoreland, RBT
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• Physical Therapist in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.