Active NPI
Daniel Joseph Bruse, P.T.
- Physical Therapist
- Salina, UT
National Provider Identifier
1861406514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 121523-2401
- 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, 2024
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107008388101 | Other | UT | SELECT HEALTH CARE |
| 49749 | Other | UT | PEHP |
| D2716 | Medicaid | UT | |
| 870384752005 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Therapies Inc | Physical Therapist | Current | Accepting new patients |
| South Central Therapies, Inc | Current | 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.
-
- Physical Therapist
- Salina, UT
- NPI 1598998973
-
- Physical Therapy Clinic/Center
- Monroe, UT
- NPI 1780956615
-
- Physical Therapist
- Richfield, UT
- NPI 1356470009
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
- Mark W Asper, DDS
- At Home Health Care Service Inc (At Home Health Care & Hospice)
- Stefanie Bagley
- Barry Sorenson DDS Inc
- Barry Sorenson Dental, PLLC (Salina Creek Dental)
- Brandon Michael Burr, LCSW
- Care Planning Institute, Inc
- Cassidy Carter
- Amberlee Ellett, CMHC
- Gunnison Valley Hospital (Salina Family Medicine)
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.