NPI 1982776530 · live from the CMS NPI Registry
Alpine Sports Medicine LLC
Physical Therapist in Park City, UT. National Provider Identifier 1982776530, active.
NPI record
| NPI | 1982776530 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 2015 Sidewinder Dr, Park City, UT 84060 |
| Practice phone | 435-645-9095 |
| Mailing address | Po Box 682226, Park City, UT 84068 |
| Enumerated | November 15, 2006 |
| Last updated | October 17, 2014 |
| Authorized official | Andrea Terwillegar, Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 849822401 (UT) |
| Physical Therapist | 225100000X | 49452432401 (UT) |
| Physical Therapist | 225100000X | 2832592401 (UT) |
| Occupational Therapist | 225X00000X | 2634904201 (UT) |
| Physical Therapist primary | 225100000X | 3296682401 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.