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

Brodie James Pack, MPT

Individual provider Physical Therapist · NPI 1871578203

Brodie James Pack, MPT is a Physical Therapist in Private Practice in South Jordan, Utah. Qualified in 2000, 26 years ago. Practices with Pack Physical Therapy, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California and Utah.

Years since qualifying
26
Licensed in
CA, UT
In the registry since
2005
Specialties on file
4
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

11531 S District Dr Ste 1200
South Jordan, UT 84095-5782
Phone: (801) 260-3100
Fax: (801) 260-3101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT28869 (CA)
Physical Therapist Taxonomy 225100000X · Licence 2774652-2401 (UT)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 2774652-2401 (UT)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 2774652-2401 (UT)

Record details

NPI number1871578203
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing address11531 S District Dr Ste 1200, South Jordan, UT 84095-5782

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Pack Physical Therapy, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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