Organization Active NPI

Holyoak Sports Performance

  • Physical Therapy Clinic/Center
  • Orem, UT
National Provider Identifier
1366122236
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HOLYOAK SPORTS PERFORMANCE
Practice address
450 N 1500 W Ste a
Orem, UT 84057-2829
Phone
(385) 283-1265
NPI assigned
Jul 24, 2023
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Larsen Holyoak, DPTNPI 1245750991
Title
Owner
Phone
(385) 283-1265

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
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

450 N 1500 W Ste a
Orem, UT 84057-2829

Mailing address

2072 N Red Yearling Dr
Saratoga Springs, UT 84045-3949
Phone (630) 699-3748

National Provider Directory

National Provider Directory

Locations

450 N 1500 W
#A
Orem, UT 84057

450 N 1500 W
Ste A
Orem, UT 84057
Phone (385) 283-1265

Practitioners & affiliated clinicians

Practitioners 1

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": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1366122236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 N RED YEARLING DR",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840453949",
            "telephone_number": "630-699-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N 1500 W STE A",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572829",
            "telephone_number": "385-283-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLYOAK SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "HOLYOAK",
        "authorized_official_first_name": "LARSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-283-1265",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.