Physical Therapy and Sports Medicine LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

274721 2401 Issued in UT

Legal business name

PHYSICAL THERAPY AND SPORTS MEDICINE LLC

Practice address

4883 W. Old Highway Rd.
Mountain Green, UT 84050

Phone

(801) 728-4624

Fax

(801) 776-3087

NPI assigned

Jun 26, 2008

Last updated

Apr 20, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alan J KerbsNPI 1952485625

Title

Provider/Owner

Phone

(801) 728-4624

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan J Kerbs, P.T.

  • Physical Therapist
  • Layton, UT
  • NPI 1952485625
  Medicare reassignment Care Compare group Authorized official
• Alex Nelson Beecher, DPT

  • Physical Therapist
  • Layton, UT
  • NPI 1639755283
  Medicare reassignment Care Compare group NPD
• Ryan O Doyle, PT, DPT

  • Physical Therapist
  • Henderson, NV
  • NPI 1740696111

  UT

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1053573469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 N. 1200 W.",
            "address_2": "STE #A",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411937",
            "telephone_number": "801-728-4624",
            "fax_number": "801-776-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4883 W. OLD HIGHWAY RD.",
            "city": "MOUNTAIN GREEN",
            "state": "UT",
            "postal_code": "84050",
            "telephone_number": "801-728-4624",
            "fax_number": "801-776-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "KERBS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "801-728-4624"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "274721 2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristin Steele, RT, RDMS
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• Specialist in Mountain Green, UT
• Providers in Mountain Green, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.