Organization Active NPI

BTKP LLC

  • Chiropractor
  • Pleasant Grove, UT
National Provider Identifier
1356141972
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BTKP LLC
Practice address
545 W Center St
Pleasant Grove, UT 84062-2215
Phone
(385) 258-4036
NPI assigned
Mar 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Kaleb Valdez, DCNPI 1437633864
Title
Manager
Phone
(385) 258-4036

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

545 W Center St
Pleasant Grove, UT 84062-2215

Mailing address

545 W Center St
Pleasant Grove, UT 84062-2215
Phone (385) 258-4036

Other identifiers 1

IdentifierTypeStateIssuer
1811617095MedicaidUT

Other names 1

  • Form Fitness and Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

545 W Center St
Pleasant Grove, UT 84062
Phone (385) 258-3103

Practitioners & affiliated clinicians

Practitioners 1

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": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1356141972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W CENTER ST",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622215",
            "telephone_number": "385-258-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W CENTER ST",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622215",
            "telephone_number": "385-258-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTKP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "KALEB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "385-258-4036",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811617095",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Form Fitness and Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Form Fitness and Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.