Active NPI
Alex Broughton, DPT
- Specialist
- Springville, UT
National Provider Identifier
1043650047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7650433-2401
- Practice address
- 655 E 400 S
Springville, UT 84663-2027 - Phone
- (801) 704-9405
- Fax
- (801) 704-9407
- NPI assigned
- Jul 5, 2013
- Last updated
- May 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7650433-2401 | UT | Primary |
Addresses
Primary practice location
655 E 400 S
Springville, UT 84663-2027
Mailing address
388 Eastview Dr
Alpine, UT 84004
Phone (801) 499-6560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7650433-2401 | Other | UT | PHYSICAL THERAPIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
771 W 450
Suite a
Springville, UT 84663-2384
Phone (801) 704-9405
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7650433-2401 | UT | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Physical Therapy and Sports Medicine, LLC | Current | Accepting new patients | |
| Walker Physical Therapy, Inc. | Past | Accepting new patients |
Locations
655 E 400 S
Springville, UT 84663
Phone (801) 704-9405
771 W 450 S
Ste A
Springville, UT 84663
Phone (801) 704-9405
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Springville, UT
- NPI 1346635851
-
- Physical Therapist
- Springville, UT
- NPI 1699947309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1043650047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 EASTVIEW DR",
"city": "ALPINE",
"state": "UT",
"postal_code": "84004",
"telephone_number": "801-499-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 E 400 S",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846632027",
"telephone_number": "801-704-9405",
"fax_number": "801-704-9407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUGHTON",
"first_name": "ALEX",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-05",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "UT",
"license": "7650433-2401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "7650433-2401",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.