Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proactive Physical Trerapy LLC

Organization Physical Therapy Clinic/Center · NPI 1417892225

Proactive Physical Trerapy LLC is a Physical Therapy Clinic/Center in Murray, Utah. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6095 S Fashion Blvd Ste 120
Murray, UT 84107-7383
Phone: (801) 210-0127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1417892225
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Jacobson — Coo · (503) 510-2536
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address6095 S Fashion Blvd Ste 120, Murray, UT 84107-7383

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