Active NPI
Jonathan Dax Gerber, DPT
- Physical Therapist
- West Valley City, UT
National Provider Identifier
1851916787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10533080-2401
- Practice address
- 3460 S Redwood Rd Ste 3
West Valley City, UT 84119-3400 - Phone
- (385) 255-8255
- NPI assigned
- Jun 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10533080-2401 | UT | Primary |
Addresses
Primary practice location
3460 S Redwood Rd Ste 3
West Valley City, UT 84119-3400
Mailing address
521 N 1030 E
Pleasant Grove, UT 84062-4534
Phone (509) 818-9989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10533080-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Communication & Rehab Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1851916787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 N 1030 E",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840624534",
"telephone_number": "509-818-9989",
"fax_number": "435-200-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 S REDWOOD RD STE 3",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841193400",
"telephone_number": "385-255-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBER",
"first_name": "JONATHAN",
"middle_name": "DAX",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-16",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "10533080-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.