Individual provider Active NPI

Daniel Joseph Bruse, P.T.

  • Physical Therapist
  • Salina, UT
National Provider Identifier
1861406514
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
121523-2401 Issued in UT
Practice address
190 S State St
Salina, UT 84654-1345
Phone
(435) 529-2234
Fax
(435) 529-2236
NPI assigned
Jul 28, 2006
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 121523-2401 UT Primary

Addresses

Primary practice location

190 S State St
Salina, UT 84654-1345

Mailing address

190 S State St
Salina, UT 84654-1345
Phone (435) 529-2234

Other identifiers 4

IdentifierTypeStateIssuer
107008388101OtherUTSELECT HEALTH CARE
49749OtherUTPEHP
D2716MedicaidUT
870384752005MedicaidUT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000149 UT Practitioner - Physical Therapist in Private Practice 8426068420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Therapies IncGroup PAC ID 2769675362, 4 clinicians

Practice addresses (Care Compare)

52 S Main
Monroe, UT 84754-4122
Phone (435) 527-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Therapies Inc Physical Therapist CurrentSince Jul 21, 2024 Accepting new patients
South Central Therapies, Inc CurrentSince May 1, 2010 Accepting new patients
Central Utah Physical Therapy Services Inc Physical Therapist Past Accepting new patients

Locations

52 S Main St
Monroe, UT 84754
Phone (435) 527-1800

190 S State St
Salina, UT 84654
Phone (435) 529-2234

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1861406514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S STATE ST",
            "city": "SALINA",
            "state": "UT",
            "postal_code": "846541345",
            "telephone_number": "435-529-2234",
            "fax_number": "435-529-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S STATE ST",
            "city": "SALINA",
            "state": "UT",
            "postal_code": "846541345",
            "telephone_number": "435-529-2234",
            "fax_number": "435-529-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSE",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "121523-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH CARE",
            "identifier": "107008388101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "49749",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D2716",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870384752005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.