Payson Sports & Spine LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PAYSON SPORTS & SPINE LLC

Practice address

871 South 500 West
Payson, UT 84651

Phone

(801) 465-2672

NPI assigned

Sep 13, 2013

Last updated

Aug 31, 2021By 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

Lynn G Adams

Title

P.T.

Phone

(801) 465-2672

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1205261807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 SOUTH 500 WEST",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "84651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 SOUTH 500 WEST",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "84651",
            "telephone_number": "801-465-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYSON SPORTS & SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "P.T.",
        "authorized_official_telephone_number": "801-465-2672"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PRA04380",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Payson Family Therapy
• Payson Food Corporation Inc. (Payson Market Pharmacy)
• Payson Medical Laboratory, Inc
• Payson RX Express LLC
• Payson RX Express LLC
• Pearl Care Inc (central utah pathology)
• Carsen David Penrod
• Samantha Perdue
• Perfect Balance Counseling & Consulting LLC
• Kierstin Petersen, NP

• Chiropractor in Payson, UT
• Providers in Payson, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.