Cortney Breann Pack, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

13419165-4701 Issued in UT

Practice address

11531 S District Dr Ste 900
South Jordan, UT 84095-5702

Phone

(801) 260-3100

NPI assigned

Sep 29, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pack Physical Therapy, Inc.

  • Physical Therapist
  • South Jordan, UT
  • NPI 1336413798
  NPD

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1790658201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10983 S RASOR DUNE DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840094199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11531 S DISTRICT DR STE 900",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955702",
            "telephone_number": "801-260-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "CORTNEY",
        "middle_name": "BREANN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "13419165-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Own My Health LLC
• P4 Pharmacy
• Heidi Pace
• Pack Physical Therapy, Inc.
• Brodie James Pack, MPT
• Cassandra Mara Padgett
• Keith Page, PHARMD
• Madison Page
• Diana Palandri, PHARMD
• Jill Palmer, SLP CCC

• Massage Therapist in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.