Organization Active NPI

MVP Sports Science Institute Inc

  • Physical Therapist
  • Holladay, UT
National Provider Identifier
1265794333
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
118804-2401 Issued in UT
Legal business name
MVP SPORTS SCIENCE INSTITUTE INC
Practice address
1826 Cottonwood Club Dr
Holladay, UT 84117-7627
Phone
(801) 244-1292
Fax
(801) 273-7474
NPI assigned
Jun 13, 2012
Last updated
Jun 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Mark John Aberton, P.T.NPI 1295713238
Title
President/Owner
Phone
(801) 244-1292

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 118804-2401 UT Primary
Physical Therapist 225100000X 118791-2401 UT

Addresses

Primary practice location

1826 Cottonwood Club Dr
Holladay, UT 84117-7627

Mailing address

1826 Cottonwood Club Dr
Holladay, UT 84117-7627
Phone (801) 244-1292

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120918000072 UT Part B Supplier - Clinic/Group Practice 9133377153 Receives reassigned benefits from 4 practitioners
Practice locations: Holladay, UT; Salt Lake City, UT

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": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1265794333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 COTTONWOOD CLUB DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841177627",
            "telephone_number": "801-244-1292",
            "fax_number": "801-273-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 COTTONWOOD CLUB DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841177627",
            "telephone_number": "801-244-1292",
            "fax_number": "801-273-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP SPORTS SCIENCE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "ABERTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "801-244-1292",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "118804-2401",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "118791-2401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.