Patrick Johnson, DPT
Individual provider Active NPI Physical Therapist · Tremonton, UT
NPI 1811255425 · NPPES record last updated Nov 9, 2012
Key facts
- NPI
- 1811255425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 905 N 1000 W
Tremonton, UT 84337-9356 - Phone
- (435) 207-4770
- Fax
- (435) 207-4780
- NPI assigned
- May 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1100 S Medical Dr
Sanpete Valley Hosp Phys GRP
Mt Pleasant, UT 84647-2222
Phone (435) 462-2441
7302 S Bingham Junction Blvd
Midvale, UT 84047-4804
Phone (801) 442-5502
905 N 1000
Tremonton, UT 84337-9356
Phone (435) 207-4770
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231107002850 | UT | Practitioner - Physical Therapist in Private Practice | 1355798794 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Physical Therapist | Current |
Accepting new patients |
Locations
7302 S Bingham Junction Blvd
Midvale, UT 84047
Phone (801) 442-3300
1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
905 N 1000 W
#1
Tremonton, UT 84337
905 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
905 N 1000 W
Tremonton, UT 84337-9356
Mailing address
905 N 1000 W
Tremonton, UT 84337-9356
Phone (435) 207-4770
Other providers in Tremonton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.