JESSE FOX BRUNNER (DPT) – Physical Therapist, NPI 1225538309
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT
Provider Addresses for JESSE FOX BRUNNER (DPT)
49 WEST 700 SOUTH
EPHRAIM, UT 84627
Phone: (435) 283-6334
Fax: (435) 283-6336
Type: Location
1050 S Medical Dr Ste A
MT Pleasant, UT 846472200
Phone: (435) 462-0178
Fax: (435) 462-5252
Type: Location
1450 NORTHWEST BLVD STE 106
COEUR D ALENE, ID 838145605
Phone: (208) 667-6264
Fax: (208) 664-4313
Type: Mailing
1088 W PRAIRIE AVE
COEUR D ALENE, ID 838158741
Phone: (208) 772-6609
Fax: (208) 762-4440
Type: Location
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 605151211
Phone:
Type: Mailing
3155 W CRAIG RD STE 130&140
NORTH LAS VEGAS, NV 890320782
Phone: (702) 639-2333
Fax: (702) 639-2334
Type: Location
13 E CENTER
GUNNISON, UT 84634
Phone: (435) 528-7575
Fax: (435) 528-7000
Type: Mailing
1050 S MEDICAL DR STE A
MT PLEASANT, UT 846472200
Phone: (435) 462-0178
Fax: (435) 462-5252
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220811003385 | I | Physical Therapist In Private Practice | WA | TBD |
| I20230112002415 | I | Physical Therapist In Private Practice | AZ | TBD |
| I20231026003348 | I | Physical Therapist In Private Practice | NV | TBD |
| I20240515000872 | I | Physical Therapist In Private Practice | OR | TBD |
| I20241121004856 | I | Physical Therapist In Private Practice | NM | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 180 | 16 | $0 |
Insurance plans in this area (ZIP 84627)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | IL | |
| - | AL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | WA | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | AP | |
| Physical Therapist In Private Practice | CA |
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