| Foundation Physical Therapy | |
|
1628 W 11010 S Ste 101, South Jordan, UT 84095-1278 | |
| (801) 419-1196 | |
| Not Available |
| Full Name | Foundation Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1628 W 11010 S Ste 101, South Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194318907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Brent N Losee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841790037 PECOS PAC ID: 8729412978 Enrollment ID: I20200326003413 |
| Provider Name | Bradley James Powell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568055366 PECOS PAC ID: 8921402017 Enrollment ID: I20210811003658 |
| Provider Name | Michael Alexander Witt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962177170 PECOS PAC ID: 6800294778 Enrollment ID: I20211006002547 |
| Provider Name | Annalee Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922680404 PECOS PAC ID: 6204224892 Enrollment ID: I20211101002763 |
| Provider Name | Sydney Friesen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750087656 PECOS PAC ID: 6305219122 Enrollment ID: I20230227000600 |
| Provider Name | Corey R Verostick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780845594 PECOS PAC ID: 6002968740 Enrollment ID: I20230921003306 |
| Provider Name | Wesley Geer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407402142 PECOS PAC ID: 3375875743 Enrollment ID: I20231002002939 |
| Provider Name | Jeremy Kevin Ensign |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528816808 PECOS PAC ID: 6901341791 Enrollment ID: I20240717000765 |
| Provider Name | Caroline Mccleery Mccleery Vixaysack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477161735 PECOS PAC ID: 0143760595 Enrollment ID: I20240911004252 |
| Provider Name | Bryan Austyn Gallaer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316766405 PECOS PAC ID: 3971036617 Enrollment ID: I20241101002135 |
| Provider Name | Tiani Bradford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215620794 PECOS PAC ID: 2668832205 Enrollment ID: I20241111000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Physical Therapy 1940 S Bonito Way Ste 190, Meridian, ID 83642-5618 Ph: (208) 287-9420 | Foundation Physical Therapy 1628 W 11010 S Ste 101, South Jordan, UT 84095-1278 Ph: (801) 419-1196 |
Clayton Daniel Powers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84009 Phone: 801-213-4500 | |
Todd Harold Schmidt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3785 W 10400 S Ste 104, South Jordan, UT 84095 Phone: 801-673-4430 | |
Elizabeth Junk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-5275 Fax: 801-213-5077 | |
Erin Mcmullin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 | |
Jared Moser, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 | |
Jason Hodson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11531 S District Dr Ste 1200, South Jordan, UT 84095 Phone: 801-260-3100 | |
Matthew Carter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10376 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-619-3670 |