| Jeremy Kevin Ensign, | |
|
1628 W 11010 S Ste 101, South Jordan, UT 84095-1278 | |
| (801) 613-1890 | |
| (801) 613-2909 |
| Full Name | Jeremy Kevin Ensign |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1628 W 11010 S Ste 101, South Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528816808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13960851-2401 (Utah) | Primary |
| Provider Name | Foundation Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194318907 PECOS PAC ID: 6204230394 Enrollment ID: O20210811003537 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Kevin Ensign, 1628 W 11010 S Ste 101, South Jordan, UT 84095-1278 Ph: () - | Jeremy Kevin Ensign, 1628 W 11010 S Ste 101, South Jordan, UT 84095-1278 Ph: (801) 613-1890 |
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: Not Enrolled in Medicare 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 | |
Jared Moser, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 | |
Matthew Carter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10376 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-619-3670 | |
Matthew Jerry Hobbs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 Fax: 801-676-2212 | |
Christine Ulses, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1098 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095 Phone: 801-254-5800 Fax: 801-254-1696 |