Active NPI
Parker Sovic
- Physical Therapy Assistant
- Bountiful, UT
National Provider Identifier
1790677516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 13972905-2402
- Practice address
- 401 S 400 E
Bountiful, UT 84010-4933 - Phone
- (801) 295-2361
- NPI assigned
- Jul 16, 2025
- 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 Therapy Assistant | 225200000X | 13972905-2402 | UT | Primary |
Addresses
Primary practice location
401 S 400 E
Bountiful, UT 84010-4933
Mailing address
401 S 400 E
Bountiful, UT 84010-4933
Phone (801) 882-0167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13972905-2402 | UT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1790677516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S 400 E",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840104933",
"telephone_number": "801-882-0167",
"fax_number": "801-882-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S 400 E",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840104933",
"telephone_number": "801-295-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOVIC",
"first_name": "PARKER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-16",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "UT",
"license": "13972905-2402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
- South Davis Metro Fire Agency
- South Davis Metro Fire Service Area
- South Davis Pediatric Dentistry LLC
- Southern Mental Health Therapy PLLC
- Scott E Southworth, MD
- Mandi Spens, PMHNP-BC
- Sports Medicine Specialists, LLC
- Sportsmed Physical Therapy of Bountiful a Professional Corp
- Squire Boys, Inc.
- Janet Ruth Squire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.