NPIMap

Organization Active NPI

Alta Sports Therapy

  • Physical Therapist
  • Alta, UT
National Provider Identifier
1104061084
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
121600-2401 Issued in UT
Legal business name
ALTA SPORTS THERAPY
Practice address
Goldminer's Daughter Lodge
Suite 1
Alta, UT 84092-8072
Phone
(801) 944-1209
NPI assigned
Dec 8, 2008
Last updated
Dec 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Mr. John W Feig, RPTNPI 1245243864
Title
President
Phone
(801) 944-1219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 121600-2401 UT Primary

Addresses

Primary practice location

Goldminer's Daughter Lodge
Suite 1
Alta, UT 84092-8072

Mailing address

PO Box 71403
Salt Lake City, UT 84171-0403
Phone (801) 944-1209

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1104061084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71403",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841710403",
            "telephone_number": "801-944-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GOLDMINER'S DAUGHTER LODGE",
            "address_2": "SUITE 1",
            "city": "ALTA",
            "state": "UT",
            "postal_code": "840928072",
            "telephone_number": "801-944-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA SPORTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "FEIG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-944-1219",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "121600-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alta, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.