NPIMap

Organization Active NPI

Mountaintop Physical Therapy & Wellness Center, Inc.

Doing business as MountainTop Physical Therapy

  • Physical Therapist
  • Park City, UT
National Provider Identifier
1194937425
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4800985-2401 Issued in UT
Legal business name
MOUNTAINTOP PHYSICAL THERAPY & WELLNESS CENTER, INC.
Doing business as
MountainTop Physical Therapy
Practice address
1794 Olympic Pkwy Ste 140
Park City, UT 84098-6389
Phone
(435) 575-0345
Fax
(435) 575-0346
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Mr. Preston Brent Hall, P.T.NPI 1386747707
Title
Owner and Physical Therapist
Phone
(801) 913-5290

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 4800985-2401 UT Primary

Addresses

Primary practice location

1794 Olympic Pkwy Ste 140
Park City, UT 84098-6389

Mailing address

1794 Olympic Pkwy Ste 140
Park City, UT 84098-6389
Phone (435) 575-0345

Other names 1

  • MountainTop Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050405000427 UT Part B Supplier - Clinic/Group Practice 0840247599 Receives reassigned benefits from 8 practitioners
Practice locations: Park City, UT

National Provider Directory

National Provider Directory

Locations

1526 Ute Blvd
Ste 102
Park City, UT 84098
Phone (435) 575-0345

1794 Olympic Pkwy
Ste 140
Park City, UT 84098
Phone (435) 575-0345

2080 Gold Dust Ln
Park City, UT 84060
Phone (213) 999-9644

6030 Market St
Ste 135
Park City, UT 84098
Phone (435) 575-0345

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1194937425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 OLYMPIC PKWY STE 140",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986389",
            "telephone_number": "435-575-0345",
            "fax_number": "435-575-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 OLYMPIC PKWY STE 140",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986389",
            "telephone_number": "435-575-0345",
            "fax_number": "435-575-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINTOP PHYSICAL THERAPY & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "OWNER AND PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-913-5290",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "4800985-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MountainTop Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MountainTop Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.