Active NPI
Bradley Allan Guymon, DPT, PT
- Physical Therapist
- South Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12447574-2401
- Practice address
- 5957 Fashion Point Dr Ste 102
South Ogden, UT 84403-5180 - Phone
- (801) 827-0200
- Fax
- (801) 827-0201
- NPI assigned
- May 15, 2022
- 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 | 12447574-2401 | UT | Primary |
Addresses
Primary practice location
5957 Fashion Point Dr Ste 102
South Ogden, UT 84403-5180
Mailing address
PO Box 66
Hooper, UT 84315-0066
Phone (801) 689-0200
Other practice location 1
35 W 50 S Ste 100
Centerville, UT 84014-2376
Phone (801) 827-0202
Other practice location 2
3476 W 4600 S
West Haven, UT 84401-9203
Phone (801) 689-0200
Other practice location 3
1741 N 2000 W Ste 6
Farr West, UT 84404-9811
Phone (801) 827-0203
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5957 Fashion Point Dr
Suite 102
Ogden, UT 84403-5180
Phone (801) 827-0200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12447574-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Rehab, Inc. | Physical Therapist | Current | Accepting new patients |
| Utah Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
35 W 50 S
Ste 100
Centerville, UT 84014
Phone (801) 827-0202
1741 N 2000 W
Ste 6
Farr West, UT 84404
Phone (801) 689-0200
5957 Fashion Point Dr
Ste 102
South Ogden, UT 84403
Phone (801) 827-0200
5957 Fashion Point Dr
South Ogden, UT 84403
Phone (385) 492-4930
3476 W 4600 S
West Haven, UT 84401
Phone (801) 689-0200
Organizations & group practices 2
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.
-
- Physical Therapist
- West Haven, UT
- NPI 1487998431
-
- Physical Therapist
- Brigham City, UT
- NPI 1801079439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652572800000",
"number": "1881331536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66",
"city": "HOOPER",
"state": "UT",
"postal_code": "843150066",
"telephone_number": "801-689-0200",
"fax_number": "801-689-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5957 FASHION POINT DR STE 102",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844035180",
"telephone_number": "801-827-0200",
"fax_number": "801-827-0201"
}
],
"practiceLocations": [
{
"address_1": "35 W 50 S Ste 100",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "UT",
"postal_code": "840142376",
"country_code": "US",
"telephone_number": "801-827-0202",
"fax_number": "385-489-2243",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3476 W 4600 S",
"address_purpose": "LOCATION",
"city": "West Haven",
"state": "UT",
"postal_code": "844019203",
"country_code": "US",
"telephone_number": "801-689-0200",
"fax_number": "801-689-0201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1741 N 2000 W Ste 6",
"address_purpose": "LOCATION",
"city": "Farr West",
"state": "UT",
"postal_code": "844049811",
"country_code": "US",
"telephone_number": "801-827-0203",
"fax_number": "801-407-9784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUYMON",
"first_name": "BRADLEY",
"middle_name": "ALLAN",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-15",
"last_updated": "2022-05-15",
"certification_date": "2022-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "12447574-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; 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.