Kelly Alvord, PT
Individual provider Active NPI Physical Therapist · Orem, UT
NPI 1992201768 · NPPES record last updated Apr 2, 2018
Key facts
- NPI
- 1992201768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3409592401 (UT)
- Practice address
- 575 E 1400 S
Orem, UT 84097-7707 - Phone
- (801) 225-4741
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3409592401 | UT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3409592401 | UT | Yes |
Addresses
Primary practice location
575 E 1400 S
Orem, UT 84097-7707
Mailing address
279 W 570 N
Lindon, UT 84042-1343
Phone (801) 367-5555
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.