Organization Active NPI

The Clinic-Physical Therapy & Human Performance Inc

  • Physical Therapist
  • Ogden, UT
National Provider Identifier
1801283668
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7963402-2401 Issued in UT
Legal business name
THE CLINIC-PHYSICAL THERAPY & HUMAN PERFORMANCE INC
Practice address
955 Chambers St Ste 150
Ogden, UT 84403-4877
Phone
(801) 689-2495
Fax
(801) 689-2762
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Brittnie Bravo
Title
Office Manager
Phone
(801) 689-2495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 7963402-2401 UT Primary

Addresses

Primary practice location

955 Chambers St Ste 150
Ogden, UT 84403-4877

Mailing address

955 Chambers St Ste 150
Ogden, UT 84403-4877
Phone (801) 689-2495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150728006018 UT Part B Supplier - Clinic/Group Practice 2567776099 Receives reassigned benefits from 1 practitioner
Practice locations: Ogden, UT

National Provider Directory

National Provider Directory

Locations

955 Chambers St
Ste 150
South Ogden, UT 84403
Phone (801) 689-2495

955 Chambers St
#G1
South Ogden, UT 84403
Phone (801) 941-2137

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1801283668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CHAMBERS ST STE 150",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034877",
            "telephone_number": "801-689-2495",
            "fax_number": "801-689-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CHAMBERS ST STE 150",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034877",
            "telephone_number": "801-689-2495",
            "fax_number": "801-689-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINIC-PHYSICAL THERAPY & HUMAN PERFORMANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "BRITTNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-689-2495"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "7963402-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.