Active NPI
Mark Peterson, DPT
- Physical Therapist
- American Fork, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 344238-2401
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 344238-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Orthopedic & Sports Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Fyzical Audiology LLC | Current | 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.
-
- Audiologist
- Provo, UT
- NPI 1841819992
-
- Physical Therapy Clinic/Center
- Provo, UT
- NPI 1447275946
Physical Therapist
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.