Individual provider Active NPI

Matthew Tanner Jarrett, DPT

  • Physical Therapist
  • Lehi, UT
National Provider Identifier
1912565078
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
113015118016 Issued in UT
Practice address
3300 N Running Creek Way Ste B150
Lehi, UT 84043-5673
Phone
(801) 766-4244
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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 113015118016 UT Primary

Addresses

Primary practice location

3300 N Running Creek Way Ste B150
Lehi, UT 84043-5673

Mailing address

3300 N Running Creek Way Ste B150
Lehi, UT 84043-5673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191223001773 UT Practitioner - Physical Therapist in Private Practice 7810321973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dry Creek Physical Therapy and Wellness PLLCGroup PAC ID 0042228512, 31 clinicians

Practice addresses (Care Compare)

3000 N Triumph Blvd
Suite 310
Lehi, UT 84043-7188
Phone (801) 766-4244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113015118016UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dry Creek Physical Therapy & Wellness PLLC Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Jensen Therapy Associates, Inc. Physical Therapist PastSince Oct 1, 2019 Accepting new patients

Locations

3300 N Running Creek Way
Ste B150
Lehi, UT 84043
Phone (801) 766-4244

3000 N Triumph Blvd
Ste 310
Lehi, UT 84043
Phone (801) 766-2088

62 E Thrive Dr
Ste 210
Saratoga Springs, UT 84045
Phone 8017664244 ext. 501

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.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1912565078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N RUNNING CREEK WAY STE B150",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N RUNNING CREEK WAY STE B150",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435673",
            "telephone_number": "801-766-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "MATTHEW",
        "middle_name": "TANNER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "113015118016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.