Individual provider Active NPI

Bradyk Jones Englestead, DPT, PT

  • Physical Therapist
  • Cedar City, UT
National Provider Identifier
1932827276
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12979200-2401 Issued in UT
Practice address
1335 Northfield Rd Ste 300
Cedar City, UT 84721-9490
Phone
(435) 865-1902
NPI assigned
Aug 22, 2022
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 12979200-2401 UT Primary

Addresses

Primary practice location

1335 Northfield Rd Ste 300
Cedar City, UT 84721-9490

Mailing address

166 W 1325 N Ste 100
Cedar City, UT 84721-7793
Phone (435) 586-0064

Other practice location 1

166 W 1325 N Ste 100
Cedar City, UT 84721-7793
Phone (435) 586-0064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221012003818 UT Practitioner - Physical Therapist in Private Practice 3476929670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

166 W 1325 N
Suite 100
Cedar City, UT 84721-7793
Phone (435) 586-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12979200-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Utah Physical Therapy & Rehabilitation P.C. Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients

Locations

1335 Northfield Rd
Ste 300
Cedar City, UT 84721
Phone (435) 865-1902

166 W 1325 N
Ste 100
Cedar City, UT 84721
Phone (435) 559-8970

Organizations & group practices 1

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1932827276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W 1325 N STE 100",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217793",
            "telephone_number": "435-586-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 NORTHFIELD RD STE 300",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847219490",
            "telephone_number": "435-865-1902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 W 1325 N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cedar City",
            "state": "UT",
            "postal_code": "847217793",
            "country_code": "US",
            "telephone_number": "435-586-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGLESTEAD",
        "first_name": "BRADYK",
        "middle_name": "JONES",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12979200-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.