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

Mr. John W Payne, PT

Individual provider Physical Therapist · NPI 1760560700

Mr. John W Payne, PT is a Physical Therapist in Private Practice in Providence, Utah. Qualified in 2006, 20 years ago. Practices with Sundance Circle Hippotherapy LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
20
Licensed in
WA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

169 N Gateway Dr Ste 210
Providence, UT 84332-9805
Phone: (435) 701-7010
Fax: (435) 701-7012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16520 92nd St E, Sumner, WA 98390-8155 — (435) 999-0912

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT9170 (WA)

Record details

NPI number1760560700
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Sundance Circle Hippotherapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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