Active NPI
Philip Burroughs
- Physical Therapist
- West Haven, UT
National Provider Identifier
1891676128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14238737-2401
- Practice address
- 3476 W 4600 S
West Haven, UT 84401-9203 - Phone
- (801) 689-0200
- NPI assigned
- Sep 11, 2025
- Last updated
- Sep 11, 2025
- 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 | 14238737-2401 | UT | Primary |
Addresses
Primary practice location
3476 W 4600 S
West Haven, UT 84401-9203
Mailing address
3476 W 4600 S
West Haven, UT 84401-9203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1514 12TH St
Suite 103
Bellingham, WA 98225-7448
Phone (360) 752-2673
3476 W 4600
West Haven, UT 84401-9203
Phone (801) 689-0200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14238737-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
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, 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": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1891676128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3476 W 4600 S",
"city": "WEST HAVEN",
"state": "UT",
"postal_code": "844019203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3476 W 4600 S",
"city": "WEST HAVEN",
"state": "UT",
"postal_code": "844019203",
"telephone_number": "801-689-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROUGHS",
"first_name": "PHILIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "14238737-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Haven, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.