JACOB BRANDENBURG (NPI# 1538534847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538534847 |
| Entity Type | Individual |
| Full Name | JACOB BRANDENBURG |
| Practice Address |
5314 River Run Dr Suite 140 Provo UT 84604-5691 |
| Practice Telephone | 8014712449 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 11421 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| Street Address |
5314 RIVER RUN DR SUITE 140 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-5691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285760033 | Chad B Fullmer | Physical Therapist | 5314 River Run Dr, Provo, UT 84604-5691 | 2007-02-26 |
| 1063781813 | Independence Rehab, LLC | Occupational Therapist | 5314 River Run Dr, Suite 140, Provo, UT 84604-5691 | 2011-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971000 | Mobile Physical Therapy Services | Physical Therapist | 68 N 2830 W, Provo, UT 84601-2135 | 2020-10-27 |
| 1376153783 | Brian Collins | Physical Therapist | 1427 S 680 W, Provo, UT 84601-5544 | 2020-07-31 |
| 1346896842 | Integrated Neurorehab | Physical Therapist | 1644 N Geneva Rd, Provo, UT 84601-1288 | 2019-08-12 |
| 1396302824 | Thomas Eastman | Physical Therapist | 1157 N 300 W Ste 211, Provo, UT 84604-6124 | 2019-05-20 |
| 1962981308 | Stanislaw Jan Dabrowski | Physical Therapist | 524 W 300 N Ste 201, Provo, UT 84601-2669 | 2018-08-07 |
| 1275999005 | Shanell Reynolds | Physical Therapist | 665 N 600 W, Apt 12, Provo, UT 84601-1563 | 2016-01-09 |
| 1265812432 | Lauren Sayoc | Physical Therapist | 5314 N River Run Drive, Suite 140, Provo, UT 84604-7706 | 2015-06-03 |
| 1225427784 | William Sykes | Physical Therapist | 1043 N 500 W, Provo, UT 84604-3305 | 2015-01-21 |
| 1184929168 | Matthew Wiseman | Physical Therapist | 445 N University Ave, Provo, UT 84601-2863 | 2011-01-21 |
| 1609187582 | Susan Snarr Curtis | Physical Therapist | 3302 N 140 W, Provo, UT 84604-3612 | 2010-06-25 |
| Find all providers in PROVO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.