Active NPI
Alexander Haupt, DPT
- Physical Therapist
- Park City, UT
National Provider Identifier
1356910269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12298218-2401
- Practice address
- 1794 Olympic Pkwy Ste 140
Park City, UT 84098-6389 - Phone
- (435) 575-0345
- NPI assigned
- Jun 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12298218-2401 | UT | Primary |
Addresses
Primary practice location
1794 Olympic Pkwy Ste 140
Park City, UT 84098-6389
Mailing address
555 E 3635 S
Salt Lake City, UT 84106-1111
Phone (435) 901-0275
Other names 1
- James Lewis Alexander Haupt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1794 Olympic Pkwy
Suite 140
Park City, UT 84098-6389
Phone (435) 575-0345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12298218-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountaintop Physical Therapy & Wellness Center, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1794 Olympic Pkwy
Ste 140
Park City, UT 84098
Phone (435) 575-0345
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Park City, UT
- NPI 1194937425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1356910269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E 3635 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841061111",
"telephone_number": "435-901-0275"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUPT",
"first_name": "ALEXANDER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-24",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "12298218-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES LEWIS",
"last_name": "HAUPT",
"middle_name": "ALEXANDER",
"credential": "DPT",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 30, 2021; 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.