Active NPI
Brandon Kenneth Bliss, DPT
- Physical Therapist
- Lehi, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3085245-2401
- Practice address
- 3401 N Center St Ste 200
Lehi, UT 84043-7499 - Phone
- (385) 309-1951
- Fax
- (385) 248-5690
- NPI assigned
- Nov 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3085245-2401 | UT | Primary |
Addresses
Primary practice location
3401 N Center St Ste 200
Lehi, UT 84043-7499
Mailing address
9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Phone (702) 818-5000
Other practice location 1
3303 N University Ave
Provo, UT 84604-4438
Phone (801) 373-7438
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3303 N University Ave
Provo, UT 84604-4438
Phone (801) 373-7438
3401 N Ctr St
Suite 200
Lehi, UT 84043-7499
Phone (385) 309-1951
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Orthopedic & Sports Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Fyzical Audiology LLC | Past | Accepting new patients | |
| Orem Sports Medicine Center, LLC | Physical Therapist | Past | Accepting new patients |
Locations
9070 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (702) 268-7213
3401 N Center St
Ste 200
Lehi, UT 84043
Phone (385) 309-1951
3303 N University Ave
Provo, UT 84604
Phone (801) 373-7438
524 W 300 N
Ste 201
Provo, UT 84601
Phone (801) 226-0599
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.
-
- Physical Therapy Clinic/Center
- Provo, UT
- NPI 1447275946
Physical Therapist, UT
-
- Audiologist
- Provo, UT
- NPI 1841819992
-
- Physical Therapist
- Orem, UT
- NPI 1659397313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1720167752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9070 W CHEYENNE AVE STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891298935",
"telephone_number": "702-818-5000",
"fax_number": "702-818-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N CENTER ST STE 200",
"city": "LEHI",
"state": "UT",
"postal_code": "840437499",
"telephone_number": "385-309-1951",
"fax_number": "385-248-5690"
}
],
"practiceLocations": [
{
"address_1": "3303 N University Ave",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846044438",
"country_code": "US",
"telephone_number": "801-373-7438",
"fax_number": "801-373-7486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLISS",
"first_name": "BRANDON",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "3085245-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.