Jonathan Lavan Bundy, PT, DPT
Jonathan Lavan Bundy, PT, DPT is a Physical Therapist in Private Practice in Providence, Utah. Qualified in 2022, 4 years ago. Practices with Springcreek Medical Center PC, a 3-clinician group, works from 2 locations and accepts Medicare assignment.
- Years since qualifying
- 4
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
267 N Spring Creek PkwyProvidence, UT 84332-9775
Phone: (435) 792-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 862 S Main St, Brigham City, UT 84302-3320 — (435) 723-1799
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1255738118 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , DPT |
| Sole proprietor | Yes |
| NPI enumerated | November 20, 2014 |
| Last updated in NPPES | June 5, 2022 |
| Certification date | June 5, 2022 |
| Mailing address | 4949 S 3535 W, Taylorsville, UT 84129-2947 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Springcreek Medical Center Pc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Providence
-
Katie Snow
545 W 465 N Ste 100, Providence, UT 84332-8004 · (435) 753-6606