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

Jonathan Patrick Sprouse

Individual provider Physical Therapist · NPI 1548953631

Jonathan Patrick Sprouse is a Physical Therapist in Private Practice in Providence, Utah. Qualified in 2023, 3 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2023

Practice location Address checks out

190 S Highway 165
Providence, UT 84332-9512
Phone: (435) 755-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13286986-2401 (UT)

Record details

NPI number1548953631
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence