Alyssa Griffith, PTA

Individual provider Active NPI Physical Therapy Assistant · Magna, UT

NPI 1386406502 · NPPES record last updated Jan 24, 2024

Key facts

NPI
1386406502
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
12127094-2402 (UT)
Practice address
3665 S 8400 W Ste 210
Magna, UT 84044-4909
Phone
(801) 250-6733
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12127094-2402UTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Motion Physical Therapy Inc Current
since Jan 28, 2024
Accepting new patients

Locations

3665 S 8400 W
Ste 210
Magna, UT 84044
Phone (801) 250-6733

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 12127094-2402 UT Yes

Addresses

Primary practice location

3665 S 8400 W Ste 210
Magna, UT 84044-4909

Mailing address

3401 S 6180 W
West Valley City, UT 84128-7503
Phone (801) 889-5920

Other providers in Magna, UT

All providers in Magna, UT · Physical Therapy Assistant in Utah

Sources for this page

Verify at the official NPI Registry.