JACOB FORD REID (D.P.T.) – Physical Therapist, NPI 1225877343

JACOB FORD REID (D.P.T.) is a healthcare provider. based in Bountiful, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials D.P.T.. They hold a License No. 13968516-2401 (UT). The NPI Number for JACOB FORD REID (D.P.T.) is 1225877343

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JACOB FORD REID (D.P.T.)
NPI
1225877343
Phone
(801) 295-3553
Address
1551 RENAISSANCE TOWNE DR STE 350
Enumeration Date
20 May 2024
Last Update Date
20 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017979105
Graduation Year
2024 (2 years ago)
PAC ID
7911441142
Group Practice PAC ID
4789649047
Professional Enrollment ID
I20240628002538
Address ID
UT840104861BO185XX400X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for JACOB FORD REID (D.P.T.)

  • 1551 RENAISSANCE TOWNE DR STE 350

    BOUNTIFUL, UT 840107674

    Phone: (801) 295-3553

    Fax: (801) 295-3599

    Type: Mailing

  • 185 S 400 E STE 207

    BOUNTIFUL, UT 840104861

    Phone: (801) 797-9105

    Fax: (385) 777-5109

    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: 2024-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240628002538IPhysical Therapist In Private PracticeUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789649047View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

What is JACOB FORD REID (D.P.T.)'s NPI number?
JACOB FORD REID (D.P.T.)'s NPI is 1225877343 — the number used across U.S. healthcare to identify this provider.
Would JACOB FORD REID (D.P.T.) appear as active to a payer?
You can treat JACOB FORD REID (D.P.T.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JACOB FORD REID (D.P.T.)?
JACOB FORD REID (D.P.T.)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JACOB FORD REID (D.P.T.) located near Bountiful?
JACOB FORD REID (D.P.T.) currently maps to Bountiful, Utah in this extract.
When was this NPI issued?
Enumeration for JACOB FORD REID (D.P.T.) is noted as May 20, 2024 where the registry provides it.

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