NPIMap

Organization Active NPI

Basics Sports Medicine, Inc

  • Physical Therapist
  • Ogden, UT
National Provider Identifier
1972788578
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4553567-2401 Issued in UT
Legal business name
BASICS SPORTS MEDICINE, INC
Practice address
2801 University Cir
Ogden, UT 84408-2801
Phone
(801) 626-8933
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Melanie Pyle, PTNPI 1831110980
Title
Officer
Phone
(801) 626-8933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 4553567-2401 UT Primary

Addresses

Primary practice location

2801 University Cir
Ogden, UT 84408-2801

Mailing address

PO Box 150227
Ogden, UT 84415-0227
Phone (801) 626-8933

National Provider Directory

National Provider Directory

Locations

2801 University Cir
Ogden, UT 84408
Phone (801) 430-2426

Practitioners & affiliated clinicians

Practitioners 1

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": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1972788578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150227",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150227",
            "telephone_number": "801-626-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 UNIVERSITY CIR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844082801",
            "telephone_number": "801-626-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASICS SPORTS MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "PYLE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "801-626-8933",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "4553567-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.