Organization Active NPI

Precision Emg PLLC

  • Physical Therapist
  • Layton, UT
National Provider Identifier
1811296155
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2852412401 Issued in UT
Legal business name
PRECISION EMG PLLC
Practice address
3225 W Gordon Ave
Layton, UT 84041-6508
Phone
(801) 725-2380
Fax
(801) 675-5103
NPI assigned
Mar 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Bryan F Child, DPT-ECSNPI 1639360050
Title
Owner/DPT
Phone
(801) 725-2380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2852412401 UT Primary

Addresses

Primary practice location

3225 W Gordon Ave
Layton, UT 84041-6508

Mailing address

PO Box 12723
Ogden, UT 84412-2723
Phone (801) 725-2380

Other names 1

  • Precision Electromyography, PLLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150728003977 UT Part B Supplier - Clinic/Group Practice 4789998360 Receives reassigned benefits from 3 practitioners
Practice locations: Ogden, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1811296155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12723",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844122723",
            "telephone_number": "801-725-2380",
            "fax_number": "801-675-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 W GORDON AVE",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416508",
            "telephone_number": "801-725-2380",
            "fax_number": "801-675-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION EMG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "CHILD",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/DPT",
        "authorized_official_telephone_number": "801-725-2380",
        "authorized_official_credential": "DPT-ECS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "2852412401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Electromyography, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.