BRODIE JAMES PACK MPT
NPI 1871578203
Physical Therapist, Orthopedic in South Jordan,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 8, 2005

Contact Information

11531 S District Dr Ste 1200
South Jordan,
Post Code: 84095
Phone: (801) 260-3100
Fax: (801) 260-3101

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Brodie James Pack Mpt in South Jordan - Physical Therapist, Orthopedic

Brodie James Pack Mpt is a Physical Therapist, Orthopedic in South Jordan, . Brodie James Pack Mpt practices all healthcare services and medical treatments related to Physical Therapist, Orthopedic. The NPI Number for Brodie James Pack Mpt is 1871578203. The last update date is 2023-02-07.

Brodie James Pack Mpt's current location address is 11531 S District Dr Ste 1200, South Jordan, . You can contact this provider via phone number (801) 260-3100 and fax number (801) 260-3101. The mailing address for Brodie James Pack Mpt is 11531 S District Dr Ste 1200, South Jordan, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1871578203
Provider Name
BRODIE JAMES PACK MPT
Gender
Male
Entity Type
Individual
Location Address
11531 S District Dr Ste 1200, South Jordan,
Location Phone
(801) 260-3100
Location Fax
(801) 260-3101
Mailing Address
11531 S District Dr Ste 1200, South Jordan, Utah(UT)
Mailing Phone
801-260-3100
Mailing Fax
801-260-3101
Enumeration Date
2005-12-08
Last Update Date
2023-02-07
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
-
License No.
PT28869
License State
California (CA)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 2251X0800X Orthopedic Physical Therapist

Physical Therapist, Orthopedic

2774652-2401 (Utah)
2 225100000X Physical Therapist

Physical Therapist

2774652-2401 (Utah)
3 2251S0007X Sports Physical Therapist

Physical Therapist, Sports

2774652-2401 (Utah)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2774652-2401 Other (non-Medicare) (01) Utah (UT) Utah Department of Commerce Division of Occupational and Professional Licensing

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1871578203
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281411071620
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 281411071620
2 + 8 + 1 + 4 + 1 + 1 + 0 + 7 + 1 + 6 + 2 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3 3

The NPI number 1871578203 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851394803 SPENCE D HARPER
Individual
Durable Medical Equipment & Medical Supplies 190 NORTH MAIN STREET
HEBER CITY, Utah (UT)
435-657-0329
1528061553 DAYWEST HEALTHCARE SERVICES
HIGHLAND CARE CENTER
Organization
Skilled Nursing Facility 4285 HIGHLAND DR
SALT LAKE CITY, Utah (UT)
801-278-2839
1619970647 JAYME FOSTER LOTT
Individual
Physician Assistant 736 S 900 E
ST GEORGE, Utah (UT)
435-673-6131
1366445397 OPEN IMAGING, LC
RAYUS RADIOLOGY
Organization
Physiological Laboratory 6243 S REDWOOD RD
TAYLORSVILLE, Utah (UT)
801-288-9671
1174526107 OPEN IMAGING-LAYTON, LLC
RAYUS RADIOLOGY
Organization
Physiological Laboratory 2071 N MAIN ST STE 100
LAYTON, Utah (UT)
801-825-4040