Individual provider Active NPI

Alexander Haupt, DPT

  • Physical Therapist
  • Park City, UT
National Provider Identifier
1356910269
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12298218-2401 Issued in UT
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

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129002176 UT Practitioner - Physical Therapist in Private Practice 0244620672 Reassigns benefits to 1 organization

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
Mountaintop Physical Therapy and Wellness Center, Inc.Group PAC ID 0840247599, 5 clinicians

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

LicenseStateTypeSpecialty
12298218-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaintop Physical Therapy & Wellness Center, Inc. Physical Therapist CurrentSince Aug 23, 2021 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.

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.

Verify at the official NPI Registry.