Individual provider Active NPI

Austin Jay Nielsen, DPT

  • Orthopedic Physical Therapist
  • South Jordan, UT
National Provider Identifier
1851940670
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
10395803-2401 Issued in TX
Practice address
11531 S District Dr Ste 1200
South Jordan, UT 84095-5782
Phone
(801) 260-3100
Fax
(801) 260-3101
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X
Orthopedic Physical Therapist 2251X0800X 10395803-2401 TX Primary

Addresses

Primary practice location

11531 S District Dr Ste 1200
South Jordan, UT 84095-5782

Mailing address

11531 S District Dr Ste 1200
South Jordan, UT 84095-5782
Phone (801) 260-3100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230412000443 UT Practitioner - Physical Therapist in Private Practice 8729453444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of the Incarnate Word School of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

354 W Crossroads Blvd
Saratoga Springs, UT 84045-5506
Phone (801) 341-5280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10395803-2401TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Pack Physical Therapy, Inc. Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince May 6, 2024 Accepting new patients
Professional Physical Therapy and Sports Medicine Physical Therapist PastSince Jun 8, 2024 Accepting new patients

Locations

3249 N 1200 W
Lehi, UT 84043
Phone (801) 234-5880

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

354 W State Road 73
Saratoga Springs, UT 84045
Phone (801) 341-5200

11531 S District Dr
Ste 1200
South Jordan, UT 84095
Phone (801) 260-3100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1851940670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11531 S DISTRICT DR STE 1200",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955782",
            "telephone_number": "801-260-3100",
            "fax_number": "801-260-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11531 S DISTRICT DR STE 1200",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955782",
            "telephone_number": "801-260-3100",
            "fax_number": "801-260-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "AUSTIN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "10395803-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.