Organization Active NPI

Alpine Spine Sports and Rehabilitation, LLC

  • Physical Medicine & Rehabilitation Physician
  • Layton, UT
National Provider Identifier
1720121783
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ALPINE SPINE SPORTS AND REHABILITATION, LLC
Practice address
1916 N 700 W
Suite 250
Layton, UT 84041-5673
Phone
(801) 479-0312
Fax
(801) 479-3364
NPI assigned
Feb 15, 2007
Last updated
Nov 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Brian H Morgan, MD
Title
Managing Member
Phone
(801) 479-0312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1916 N 700 W
Suite 250
Layton, UT 84041-5673

Mailing address

PO Box 160534
Clearfield, UT 84016-0534
Phone (801) 479-0312

National Provider Directory

National Provider Directory

Locations

5405 S 500 E
#200
Ogden, UT 84405
Phone (801) 476-6900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1720121783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160534",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840160534",
            "telephone_number": "801-479-0312",
            "fax_number": "801-479-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 N 700 W",
            "address_2": "SUITE 250",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415673",
            "telephone_number": "801-479-0312",
            "fax_number": "801-479-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE SPINE SPORTS AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-479-0312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.