Brian Thompson
Individual provider Active NPI Occupational Therapist · Gunnison, UT
NPI 1821719006 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1821719006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 9690247-4201 (UT)
- Practice address
- 13 E Center St
Gunnison, UT 84634 - Phone
- (435) 289-6210
- NPI assigned
- Sep 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
124 Hawthorne LN
Greenwood, IN 46142-9430
193 S Main St
Manti, UT 84642-5515
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251204000633 | IN | Practitioner - Occupational Therapist in Private Practice | 1456723303 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy on Wheels, Inc. | Current |
Accepting new patients | |
| Therapy West Rehab Agency LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9690247-4201 | UT | Yes |
Addresses
Primary practice location
13 E Center St
Gunnison, UT 84634
Mailing address
13 E Center St
Gunnison, UT 84634
Other providers in Gunnison, UT
- Kathryn Taylor
- Teen Discovery Home
- Therapy West LLC
- Therapy West Rehab Agency LLC
- Myrissa L Thomas
- Amie Sue Tucker
- Willard Ray Tucker
- Amy Vanderherp
- Gerald J Willden
All providers in Gunnison, UT · Occupational Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. 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.