Brodie James Pack, MPT - Medicare Physical Therapist in South Jordan, UT

Brodie James Pack, MPT is a medicare enrolled "Physical Therapist" provider in South Jordan, Utah. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Pack Physical Therapy, Inc., Pack Physical Therapy, Inc. and his current practice location is 11531 S District Dr Ste 1200, South Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 260-3100.

Brodie James Pack is licensed to practice in California (license number PT28869) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871578203.

Contact Information

Brodie James Pack, MPT
11531 S District Dr Ste 1200,
South Jordan, UT 84095-5782
(801) 260-3100
(801) 260-3101

Map and Direction




Healthcare Provider's Profile

Full NameBrodie James Pack
GenderMale
SpecialityPhysical Therapy
Experience24 Years
Location11531 S District Dr Ste 1200, South Jordan, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brodie James Pack graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1871578203
  • Provider Enumeration Date: 12/08/2005
  • Last Update Date: 02/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244126613
  • Enrollment ID: I20040223001311

Medical Identifiers

Medical identifiers for Brodie James Pack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871578203NPI-NPPES
2774652-2401OtherUTUTAH DEPARTMENT OF COMMERCE DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2774652-2401 (Utah)Secondary
2251S0007XPhysical Therapist - Sports 2774652-2401 (Utah)Secondary
225100000XPhysical Therapist PT28869 (California)Primary
2251X0800XPhysical Therapist - Orthopedic 2774652-2401 (Utah)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pack Physical Therapy, Inc.22646819232
Pack Physical Therapy, Inc.22646819232

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brodie James Pack allows following entities to bill medicare on his behalf.
Provider NamePack Physical Therapy, Inc.
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1336413798
PECOS PAC ID: 2264681923
Enrollment ID: O20121012000671

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brodie James Pack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brodie James Pack, MPT
11531 S District Dr Ste 1200,
South Jordan, UT 84095-5782

Ph: (801) 260-3100
Brodie James Pack, MPT
11531 S District Dr Ste 1200,
South Jordan, UT 84095-5782

Ph: (801) 260-3100

Reviews and Comments


Physical Therapist in South Jordan, UT

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Matthew Carter, DPT
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Matthew Jerry Hobbs, DPT
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Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095
Phone: 801-676-2210    Fax: 801-676-2212
Christine Ulses, DPT
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Medicare: Not Enrolled in Medicare
Practice Location: 1098 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095
Phone: 801-254-5800    Fax: 801-254-1696

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.