Active NPI
Michael Douglas Stirling III, PT, DPT
- Physical Therapist
- Pleasant Grove, UT
National Provider Identifier
1922726140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12890771-2401
- Practice address
- 597 S Pleasant Grove Blvd
Pleasant Grove, UT 84062-3069 - Phone
- (801) 263-0530
- NPI assigned
- Aug 15, 2022
- 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 Therapist | 225100000X | 12890771-2401 | UT | Primary |
Addresses
Primary practice location
597 S Pleasant Grove Blvd
Pleasant Grove, UT 84062-3069
Mailing address
1100 E 360 S
Provo, UT 84606-5254
Phone (602) 565-2857
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12890771-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Alpine Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Murray, UT
- NPI 1265863740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1922726140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E 360 S",
"city": "PROVO",
"state": "UT",
"postal_code": "846065254",
"telephone_number": "602-565-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "597 S PLEASANT GROVE BLVD",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623069",
"telephone_number": "801-263-0530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIRLING",
"first_name": "MICHAEL",
"middle_name": "DOUGLAS",
"name_suffix": "III",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "12890771-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Grove, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.