Individual provider Active NPI

Mark Peterson, DPT

  • Physical Therapist
  • American Fork, UT
National Provider Identifier
1528089224
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
344238-2401 Issued in UT
Practice address
1208 E 450 N
American Fork, UT 84003-4039
Phone
(801) 369-3883
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 344238-2401 UT Primary

Addresses

Primary practice location

1208 E 450 N
American Fork, UT 84003-4039

Mailing address

1208 E 450 N
American Fork, UT 84003-4039
Phone (801) 369-3883

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9070 W Cheyenne Ave
Suite 100
Las Vegas, NV 89129-8935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
344238-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Orthopedic & Sports Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2001 Accepting new patients
Fyzical Audiology LLC CurrentSince Apr 17, 2020 Accepting new patients

Locations

9070 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (702) 268-7213

360 S State St
Ste 110
Orem, UT 84058
Phone (801) 850-9146

3303 N University Ave
Provo, UT 84604
Phone (801) 373-7438

Organizations & group practices 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1528089224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E 450 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840034039",
            "telephone_number": "801-369-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E 450 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840034039",
            "telephone_number": "801-369-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "344238-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.