OrganizationActive
Physical Medicine LLC
NPI 1700820941 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · St George, UT
Provider details
- NPI number
- 1700820941
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bradley Root, Physician(435) 656-8800
- License
- 1765711205 (UT)
Specialties & taxonomies
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081P2900XLicense 1765711205 (UT)
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1424 E Foremaster Dr # 120
St George, UT 84790
Phone: (435) 656-8800
Fax: (435) 627-1809
Street-level locationGet directions
Mailing address
1424 E Foremaster Dr # 120
St George, UT 84790
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2013-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.