NPIMap

Organization Active NPI

Primal Mountain Medical

Doing business as Cellrx

  • Physical Medicine & Rehabilitation Physician
  • Lehi, UT
National Provider Identifier
1609751791
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PRIMAL MOUNTAIN MEDICAL
Doing business as
Cellrx
Primal Mountain Medical
Practice address
3098 Exec Pkwy Ste 100
Lehi, UT 84048-5650
Phone
(435) 938-8657
NPI assigned
Aug 7, 2025
Last updated
Aug 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Dr. Jacob Egbert, DO
Title
Owner
Phone
(435) 938-8657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

3098 Exec Pkwy Ste 100
Lehi, UT 84048-5650

Mailing address

3098 Exec Pkwy Ste 100
Lehi, UT 84048-5650
Phone (435) 938-8657

Other names 2

  • CELLRX Doing business as
  • Primal Mountain Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1609751791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3098 EXEC PKWY STE 100",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840485650",
            "telephone_number": "435-938-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 EXEC PKWY STE 100",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840485650",
            "telephone_number": "435-938-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAL MOUNTAIN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "EGBERT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-938-8657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CELLRX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primal Mountain Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.