Physical Medicine LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

1765711205 Issued in UT

Legal business name

PHYSICAL MEDICINE LLC

Practice address

1424 E Foremaster Dr # 120
St George, UT 84790

Phone

(435) 656-8800

Fax

(435) 627-1809

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Root, D.O.

Title

Physician

Phone

(435) 656-8800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark W Udy, PA-C

  • Medical Physician Assistant
  • St George, UT
  • NPI 1659405314
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1700820941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 E FOREMASTER DR # 120",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-656-8800",
            "fax_number": "435-627-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 E FOREMASTER DR # 120",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-656-8800",
            "fax_number": "435-627-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "435-656-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "UT",
            "license": "1765711205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Phillips, PT, DPT
• James T. Phillips, D.D.S.
• Lee Ann Marie Phillips, OTR/L
• McKenna Phillips
• Rebecca Anne Phillips, LCSW
• Blaire Snell Pickering, RD
• Aspyn Skye Pickett
• Anita Pierce
• Brandy Lee Pierce, FNP-BC
• Kenna Pierce, BC-HHP, FNC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in St George, UT
• Providers in St George, UT by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.