PT Clinic

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PT CLINIC

Practice address

526 W Center St Ste N105
Pleasant Grove, UT 84062-3360

Phone

(801) 899-3814

NPI assigned

Aug 31, 2024

Organization subpart

No

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

Authorized official

Name

John StavastNPI 1982050894

Title

Owner

Phone

(801) 899-3814

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Stavast, DPT

  • Orthopedic Physical Therapist
  • Pleasant Grove, UT
  • NPI 1982050894
  NPD Authorized official

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

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1801620760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 E 220 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W CENTER ST STE N105",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623360",
            "telephone_number": "801-899-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-31",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "STAVAST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-899-3814"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri L Price
• Niki Priest
• Prime Meridian Health Clinics
• Private Healthcare Facilities
• PRP Chiropractic
• Lisa Gilliam Pugh
• Tyler Stephen Purdy
• Danny Clinton Purser, MD
• R. Bruce Howell D.D.S., M.S.
• Jada Ragin

• Physical Therapy Clinic/Center in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Physical Therapy Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.