Jonathan Lavan Bundy, PT, DPT
NPI 1255738118ActiveIndividual· Physical Therapist· Providence, UT
Physical Therapist (PT, DPT) with Springcreek Medical Center PC, practicing in Providence, Utah. Medicare paid $23,686 for services to 17 patients in 2024.
Overview
| NPI | 1255738118 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Nov 20, 2014 |
| Last updated in NPPES | Jun 5, 2022 |
| Certified by provider | Jun 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Counselor | 101Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 1,237 across 9 procedure codes |
| Paid by Medicare | $23,686 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Springcreek Medical Center PCProvidence, UT · 3 clinicians
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