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Integrated Clinix

Organization Active NPI Multi-Specialty Clinic/Center · Cedar Hills, UT

NPI 1659931384 · NPPES record last updated Jul 29, 2026

Key facts

NPI
1659931384
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
INTEGRATED CLINIX
Practice address
4337 W Oxford St
Cedar Hills, UT 84062-8638
Phone
(801) 692-3395
Fax
(801) 692-1595
NPI assigned
Jun 14, 2019
Organization subpart
No

Authorized official

Name
Spencer Cark, PT, DPT, MBA
Title
Owner
Phone
(801) 692-3395

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

Medicare participation

Medicare fee-for-service enrollment
Enrolled (14 enrollments) in UT, TX, IN, TN, MS, OK, IL, GA, CO, OH, IA, KS, CA, FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200212001248 UT Part B Supplier - Clinic/Group Practice 0941636872 Receives reassigned benefits from 11 practitioners
Practice locations: Cedar Hills, UT
O20210715002356 TX Part B Supplier - Clinic/Group Practice 0941636872 Receives reassigned benefits from 3 practitioners
Practice locations: San Antonio, TX
O20220902002799 IN Part B Supplier - Clinic/Group Practice 0941636872 Receives reassigned benefits from 2 practitioners
Practice locations: Terre Haute, IN
O20220907000343 TN Part B Supplier - Clinic/Group Practice 0941636872 Practice locations: Germantown, TN
O20220908000351 MS Part B Supplier - Clinic/Group Practice 0941636872 Practice locations: Olive Branch, MS
O20220908000851 OK Part B Supplier - Clinic/Group Practice 0941636872 Practice locations: Oklahoma City, OK
O20230112002479 IL Part B Supplier - Clinic/Group Practice 0941636872 Receives reassigned benefits from 3 practitioners
Practice locations: Sycamore, IL
O20230126000300 GA Part B Supplier - Clinic/Group Practice 0941636872 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, GA
O20230223002815 CO Part B Supplier - Clinic/Group Practice 0941636872 Receives reassigned benefits from 2 practitioners
Practice locations: Denver, CO
O20230308003042 OH Part B Supplier - Clinic/Group Practice 0941636872 Receives reassigned benefits from 4 practitioners
Practice locations: Shaker Heights, OH
O20230309001525 IA Part B Supplier - Clinic/Group Practice 0941636872 Receives reassigned benefits from 1 practitioner
Practice locations: Adel, IA
O20230309001768 KS Part B Supplier - Clinic/Group Practice 0941636872 Receives reassigned benefits from 3 practitioners
Practice locations: Lawrence, KS
O20230425002544 CA Part B Supplier - Clinic/Group Practice 0941636872 Receives reassigned benefits from 3 practitioners
Practice locations: Fremont, CA
O20230731000606 FL Part B Supplier - Clinic/Group Practice 0941636872 Practice locations: Pensacola, FL

National Provider Directory

Locations

44240 Fremont Blvd
Ste 18
Fremont, CA 94538

220 W Wilshire Blvd
Ste F2
Oklahoma City, OK 73116

1116 E Houston St
Ste 102
San Antonio, TX 78205
Phone (210) 949-1660

910 W State St
Lehi, UT 84043

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X
Pain Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208VP0000X
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP		 235Z00000X
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

4337 W Oxford St
Cedar Hills, UT 84062-8638

Mailing address

4337 W Oxford St
Cedar Hills, UT 84062-8638
Phone (801) 692-3395

Other practice location 1

1116 E Houston St Ste 102
San Antonio, TX 78205-2126
Phone (801) 692-3395

Other practice location 2

18301 N 79th Ave Ste F168
Glendale, AZ 85308-6045
Phone (801) 692-3395

Other practice location 3

8568 Highway 85
Jonesboro, GA 30238-4300
Phone (801) 692-3395

Electronic endpoints

TypeEndpointUseAffiliation
Other URL spencer@integratedclinix.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 29, 2026.

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1659931384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 W OXFORD ST",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840628638",
            "telephone_number": "801-692-3395",
            "fax_number": "801-692-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 W OXFORD ST",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840628638",
            "telephone_number": "801-692-3395",
            "fax_number": "801-692-1595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 E Houston St Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782052126",
            "country_code": "US",
            "telephone_number": "801-692-3395",
            "fax_number": "801-692-1595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18301 N 79th Ave Ste F168",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853086045",
            "country_code": "US",
            "telephone_number": "801-692-3395",
            "fax_number": "801-692-1595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8568 Highway 85",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "302384300",
            "country_code": "US",
            "telephone_number": "801-692-3395",
            "fax_number": "801-692-1595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED CLINIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "CARK",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-692-3395",
        "authorized_official_credential": "PT, DPT, MBA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "spencer@integratedclinix.com",
            "affiliation": "N",
            "address_1": "4337 W Oxford St",
            "city": "Cedar Hills",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840628638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Hills, UT

All providers in Cedar Hills, UT · Multi-Specialty Clinic/Center in Utah

Sources for this page

Verify at the official NPI Registry.