Personal Performance Medical Corporation

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PERSONAL PERFORMANCE MEDICAL CORPORATION

Doing business as

Fit-Well Prosthetic and Orthotic Center

Practice address

3354 Harrison Blvd
Suite 3
Ogden, UT 84403-1296

Phone

(801) 334-6000

Fax

(801) 317-4019

NPI assigned

Jun 11, 2009

Last updated

Jul 5, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

PERSONAL PERFORMANCE MEDICAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. Scott E Allen, CERTIFIED PROSTHETIS

Title

Owner

Phone

(801) 364-3100

Specialties & licenses 1

Addresses

Other names 1

• Fit-Well Prosthetic and Orthotic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Personal Performance Medical Corporation

  dba Fit-Well Prosthetic and Orthotic Center

  • Prosthetic/Orthotic Supplier
  • St George, UT
  • NPI 1083841597

  1355468059

  Same PAC ID
• Personal Performance Medical Corporation

  dba Fit-Well Prosthetic & Orthotic Center

  • Prosthetic/Orthotic Supplier
  • Midvale, UT
  • NPI 1528041662

  1355468059

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Personal Performance Medical Corporation3 organizations share this tax ID, including this one

Part of

Personal Performance Medical Corporation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Personal Performance Medical Corporation

  dba Fit-Well Prosthetic and Orthotic Center

  • Prosthetic/Orthotic Supplier
  • St George, UT
  • NPI 1083841597
  NPD tax ID
• Personal Performance Medical Corporation

  dba Fit-Well Prosthetic & Orthotic Center

  • Prosthetic/Orthotic Supplier
  • Midvale, UT
  • NPI 1528041662
  NPD tax ID

Locations

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1114154622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 S 900 E",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472343",
            "telephone_number": "801-364-3100",
            "fax_number": "801-872-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 HARRISON BLVD",
            "address_2": "SUITE 3",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031296",
            "telephone_number": "801-334-6000",
            "fax_number": "801-317-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL PERFORMANCE MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERSONAL PERFORMANCE MEDICAL CORPORATION",
        "enumeration_date": "2009-06-11",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-364-3100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFIED PROSTHETIS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fit-Well Prosthetic and Orthotic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cathleen Perry, BSN
• Christina Perry
• Deborah Ann Perry, DMD
• Ellie Perry
• Perseverance Health & Wellness,, PLLC
• Mitchell Pessetto
• Jaylee Ann Peters
• Nicole R. Peters, CMHC
• Susan A Peters, PT
• Brenda Petersen

• Prosthetic/Orthotic Supplier in Ogden, UT
• Providers in Ogden, UT by specialty
• Prosthetic/Orthotic Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.