Brad L Thomas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

871176802401 Issued in UT

Practice address

169 Spring Creek Park Way
Suite 140
Providnce, UT 84332

Phone

(435) 755-8500

Fax

(435) 755-2836

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

H2 Physical TherapyGroup PAC ID 5991194672, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• H2 Physical Therapy

  • Physical Therapist
  • North Logan, UT
  • NPI 1700450806
  Medicare reassignment Care Compare group NPD
• Cache Valley Specialty Hospital

  • General Acute Care Hospital
  • North Logan, UT
  • NPI 1669446563
  NPD (past)
• Matthew J Welter MD PC

  • Family Medicine Physician
  • Logan, UT
  • NPI 1871781252
  NPD (past)
• Mountain Division - CVH, LLC

  dba Cache Valley Hospital

  • General Acute Care Hospital
  • North Logan, UT
  • NPI 1952703472
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902021538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 SPRING CREEK PARK WAY",
            "address_2": "SUITE 140",
            "city": "PROVIDNCE",
            "state": "UT",
            "postal_code": "84332",
            "telephone_number": "435-755-8500",
            "fax_number": "435-755-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SPRING CREEK PARK WAY",
            "address_2": "SUITE 140",
            "city": "PROVIDNCE",
            "state": "UT",
            "postal_code": "84332",
            "telephone_number": "435-755-8500",
            "fax_number": "435-755-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRAD",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "871176802401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.