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NPI · 1871578203 · NPPES-sourced

Brodie Pack Mpt

ActivePhysical Therapist
NPI Number
1871578203
Type 1 · Individual
Taxonomy Code
225100000X
Contact
(801) 260-3100
License CA · PT28869
Last Updated
Enumerated
Primary practice addressUT · 84095-5782
11531 S District Dr Ste 1200South Jordan, UT 84095-5782
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About this NPIWhat this record shows.

NPI 1871578203 is registered to Brodie Pack Mpt, a Physical Therapist practising at 11531 S District Dr Ste 1200 in South Jordan, Utah. Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Brodie Pack Mpt has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 2774652-2401UT· Issued by UTAH DEPARTMENT OF COMMERCE DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Brodie Pack Mpt accepts. To confirm in-network status with your specific health plan, contact Brodie Pack Mpt directly at (801) 260-3100.

Frequently asked

Yes. NPI 1871578203 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (801) 260-3100.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Brodie Pack Mpt is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy225100000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Physical Therapist providers in Utah.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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