Pack Physical Therapy, Inc.
NPI 1336413798 · Physical Therapist · South Jordan, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pack Physical Therapy, Inc. is a Physical Therapist organization in South Jordan, UT (NPI 1336413798).
Provider details
- NPI number
- 1336413798
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Brodie Pack, President/Physical Therapist(801) 260-3100
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sports Physical Therapist2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthopedic Physical Therapist2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Impackt Physical Therapy and Sports Recovery
Registry dates
- Enumerated
- 2012-03-02
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Frequently asked questions
- What is Pack Physical Therapy, Inc.'s NPI number?
- Pack Physical Therapy, Inc.'s National Provider Identifier (NPI) is 1336413798, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pack Physical Therapy, Inc.?
- Pack Physical Therapy, Inc. is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Pack Physical Therapy, Inc. located?
- Pack Physical Therapy, Inc.'s practice location on file with NPPES is 11531 S District Dr Ste 900, South Jordan, UT 84095-5780.
- What is Pack Physical Therapy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Pack Physical Therapy, Inc. is (949) 350-6370.
- Does Pack Physical Therapy, Inc. accept Medicare?
- Pack Physical Therapy, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pack Physical Therapy, Inc.?
- The authorized official listed on Pack Physical Therapy, Inc.'s NPPES record is Brodie Pack, President/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pack Physical Therapy, Inc.'s NPI active?
- Yes — Pack Physical Therapy, Inc.'s NPI (1336413798) is active in the NPPES registry as of the last update on 2025-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.