NPIMap

Organization Active NPI

Alpine Sports Medicine LLC

  • Physical Therapist
  • Park City, UT
National Provider Identifier
1982776530
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3296682401 Issued in UT
Legal business name
ALPINE SPORTS MEDICINE LLC
Practice address
2015 Sidewinder Dr
Park City, UT 84060-7323
Phone
(435) 645-9095
Fax
(435) 645-9092
NPI assigned
Nov 15, 2006
Last updated
Oct 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Andrea P. Terwillegar
Title
Partner
Phone
(435) 645-9095

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3296682401 UT Primary
Physical Therapist 225100000X 849822401 UT
Physical Therapist 225100000X 49452432401 UT
Physical Therapist 225100000X 2832592401 UT
Occupational Therapist 225X00000X 2634904201 UT

Addresses

Primary practice location

2015 Sidewinder Dr
Park City, UT 84060-7323

Mailing address

PO Box 682226
Park City, UT 84068-2226
Phone (435) 658-4691

National Provider Directory

National Provider Directory

Locations

2015 Sidewinder Dr
Park City, UT 84060
Phone (435) 645-9095

2645 E Parleys Way
Salt Lake Cty, UT 84109
Phone (435) 645-9095

Practitioners & affiliated clinicians

Practitioners 6

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1982776530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682226",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840682226",
            "telephone_number": "435-658-4691",
            "fax_number": "435-658-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 SIDEWINDER DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607323",
            "telephone_number": "435-645-9095",
            "fax_number": "435-645-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "TERWILLEGAR",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "435-645-9095"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "3296682401",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "849822401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "49452432401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "2832592401",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "2634904201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.