Individual provider Active NPI

Alan J Kerbs, P.T.

  • Physical Therapist
  • Layton, UT
National Provider Identifier
1952485625
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
274721-2401 Issued in UT
Practice address
1868 N 1200 W Ste a
Layton, UT 84041
Phone
(801) 728-4624
Fax
(801) 776-3087
NPI assigned
Oct 25, 2006
Last updated
May 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2018

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 274721-2401 UT Primary

Addresses

Primary practice location

1868 N 1200 W Ste a
Layton, UT 84041

Mailing address

1868 N 1200 W Ste a
Layton, UT 84041-1937
Phone (801) 728-4624

Other practice location 1

2179 Robins Dr
Layton, UT 84041-1138
Phone (435) 654-0804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000730 UT Practitioner - Physical Therapist in Private Practice 7012969041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Layton Physical Therapy and Sports Medicine IncGroup PAC ID 3476506650, 2 clinicians
Physical Therapy and Sports Medicine LLCGroup PAC ID 0042490278, 3 clinicians

Practice addresses (Care Compare)

1868 N 1200
Suite a
Layton, UT 84041-1937
Phone (801) 728-4624

2369 N 400
North Ogden, UT 84414-7232
Phone (801) 728-4624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
274721-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Layton Physical Therapy & Sports Medicine Inc CurrentSince Nov 1, 2004 Accepting new patients
Morgan Physical Therapy & Fitness Center Inc Physical Therapist PastSince Jun 20, 2011 Accepting new patients
Heber Valley Physical Therapy Inc Past Accepting new patients
E Alan Jeppsen MD PC Past Accepting new patients

Locations

1868 N 1200 W
Ste A
Layton, UT 84041
Phone (801) 675-0608

2369 N 400 E
Ogden, UT 84414
Phone (801) 675-0608

Organizations & group practices 5

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1952485625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 N 1200 W STE A",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411937",
            "telephone_number": "801-728-4624",
            "fax_number": "801-776-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 N 1200 W STE A",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84041",
            "telephone_number": "801-728-4624",
            "fax_number": "801-776-3087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2179 Robins Dr",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840411138",
            "country_code": "US",
            "telephone_number": "435-654-0804",
            "fax_number": "435-654-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERBS",
        "first_name": "ALAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "274721-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.