Brandon Reed, DPT
Physical Therapist in Providence, UT. Individual provider (NPI-1).
NPI number1083446207
StatusActive
Last updated in NPPESAug 16, 2024
Details
- NPI
- 1083446207
- Entity type
- Individual (NPI-1)
- Name
- Brandon Reed
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2024
- Certification date
- Aug 16, 2024
- Last updated
- Aug 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 139892082401 | UT | Yes |
Practice location
550 W 465 NProvidence, UT 84332-8014
Phone 435-535-3677
Mailing address
4871 Hollow RdNibley, UT 84321-7966
Phone 435-757-5383
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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