MEDICARE: MR. STEPHEN JASON TOMLINSON PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	290768-2401	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
10	DD2759	OTHER	UT	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	875082	OTHER	UT	DMBA
2	233991	OTHER	UT	ALTIUS
3	9374195	OTHER	UT	PHCS
4	02907682405001	OTHER	UT	BLUE CROSS BLUE SHIELD
5	060551781	OTHER	UT	TRI CARE
6	030551781JT2	OTHER	UT	EDUCATORS MUTUAL
7	107031324102	OTHER	UT	SELECT HEALTH
8	81821	OTHER	UT	PEHP
9	610748900	OTHER	UT	OWCP

General Provider Information

NPI Number	:	1043325715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEPHEN JASON TOMLINSON PT

Provider Business Mailing Address
First Line	:	1055 N 500 W
Second Line	:	ATTN: CREDENTIALING
City	:	PROVO
State	:	UT
Zip	:	84604-3305
Country	:	US
Telephone Number	:	801-354-8225
Fax Number	:	801-418-0941

Provider Business Practice Location Address
First Line	:	1449 N 1400 W STE 21
Second Line	:
City	:	ST GEORGE
State	:	UT
Zip	:	84770-5237
Country	:	US
Telephone Number	:	435-986-4133
Fax Number	:	435-986-4133

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	03/27/2025

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Directions to “ MR. STEPHEN JASON TOMLINSON PT” Practice Location

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