Alec Eldon Wall, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14222089-2401 Issued in UT

Practice address

2891 E Mall Dr Ste 200
St George, UT 84790-2399

Phone

(435) 688-1665

Fax

(435) 619-8634

NPI assigned

May 22, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Spine and Pain Care Specialists LLCGroup PAC ID 6406020049, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alecwall@ssapcsl-ut.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Spine and Pain Care Specialists, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Saint George, UT
  • NPI 1144509985
  Medicare reassignment Care Compare group NPD
• Southwest Spine and Pain Care Specialists, LLC

  • Chiropractor
  • Saint George, UT
  • NPI 1871263178

  Physical Therapist

  NPD

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1073305181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912042",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847912042",
            "telephone_number": "435-215-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 E MALL DR STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902399",
            "telephone_number": "435-688-1665",
            "fax_number": "435-619-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "ALEC",
        "middle_name": "ELDON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "14222089-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby Walker
• Jadyn Walker
• Katherine Elizabeth Walker, BEHAVIOR TECHNICIAN
• Shane David Walker, AU.D.
• Trace Walker
• Raquel Wall, NURSE PRACTITIONER
• Daycee Wallace
• Henry Wallace
• Tucker Wallace
• Steven Henry Wallenfels

• Physical Therapist in St George, UT
• Providers in St George, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.

Verify at the official NPI Registry.