PERSONAL PERFORMANCE MEDICAL CORPORATION (NPI# 1528041662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528041662 |
| Entity Type | Organization |
| Organization Name | PERSONAL PERFORMANCE MEDICAL CORPORATION |
| Other Organization Name | FIT-WELL PROSTHETIC & ORTHOTIC CENTER |
| Practice Address |
7575 S 900 E Midvale UT 84047-2343 |
| Practice Telephone | 8013643100 |
| Practice Fax Number | 8018725714 |
| Mailing Telephone | 8013643100 |
| Mailing Fax Number | 8018725714 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MR. SCOTT E ALLEN (OWNER) |
| Authorized Official Telephone | 8013643100 |
| Authorized Official Credential | CERTIFIED PROSTH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 19793280 | UT | Suppliers |
| Other Name | Type Code |
|---|---|
| Fit-Well Prosthetic & Orthotic Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083841597 | Personal Performance Medical Corporation | Prosthetic/Orthotic Supplier | 720 S River Rd Ste B205, St George, UT 84790-5532 | 2009-06-11 |
| 1114154622 | Personal Performance Medical Corporation | Prosthetic/Orthotic Supplier | 3354 Harrison Blvd, Suite 3, Ogden, UT 84403-1296 | 2009-06-11 |
| Street Address |
7575 S 900 E |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124338090 | Kellie Marie Herget | Community Health Worker | 7575 S 900 E, Midvale, UT 84047-2343 | 2010-10-13 |
| 1659681518 | Enola Jenae Erickson | Community Health Worker | 7575 S 900 E, Midvale, UT 84047-2343 | 2010-10-13 |
| 1801106760 | Mary Esther Dutton | Community Health Worker | 7575 S 900 E, Midvale, UT 84047-2343 | 2010-10-13 |
| 1447499140 | Rise Behavioral and Mental Health Services, LLC | Community/Behavioral Health | 7575 S 900 E, Midvale, UT 84047-5100 | 2009-02-19 |
| 1134366057 | Pamela Anne Molen | Registered Nurse | 7575 S 900 E, Midvale, UT 84047-5100 | 2009-01-14 |
| 1205073129 | Andrea Christina Sumner | Social Worker | 7575 S 900 E, Midvale, UT 84047-5100 | 2009-01-14 |
| 1467699389 | Taralynn Thompson | Social Worker | 7575 S 900 E, Midvale, UT 84047-5100 | 2009-01-14 |
| 1699967257 | Allison Jean Page | Nurse Practitioner | 7575 S 900 E, Midvale, UT 84047-2343 | 2007-08-16 |
| 1811958283 | Karen Joy Wong | Social Worker | 7575 S 900 E, Midvale, UT 84047-5100 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205155777 | Jenco Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 7026 South Commerce Park Dr, Suite 2, Midvale, UT 84047-1026 | 2010-05-24 |
| 1366475154 | Eye Prosthetics of Utah, Inc. | Prosthetic/Orthotic Supplier | 7400 Union Park Ave, Suite 102, Midvale, UT 84047-6705 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578035713 | Feminine Forms LLC | Prosthetic/Orthotic Supplier | 345 S 500 E, American Fork, UT 84003-2525 | 2018-12-28 |
| 1841761095 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 4225 W Lake Park Blvd Ste 225, West Valley City, UT 84120-8213 | 2018-12-16 |
| 1114441441 | Asd Sleep LLC | Prosthetic/Orthotic Supplier | 1957 W Royal Hunte Dr, #250, Cedar City, UT 84720 | 2017-07-28 |
| 1992226302 | Freedom Prosthetic & Orthotics, LLC | Prosthetic/Orthotic Supplier | 356 E 600 S, St George, UT 84770-3949 | 2017-07-06 |
| 1356792634 | Fit Prosthetics LLC | Prosthetic/Orthotic Supplier | 154 E Myrtle Ave, Suite #100, Murray, UT 84107-4849 | 2016-06-28 |
| 1750760369 | Women Restore LLC | Prosthetic/Orthotic Supplier | 1171 Expressway Ln, Spanish Fork, UT 84660-1331 | 2015-05-28 |
| 1114306891 | Northwest Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 642 Kirby Ln Ste 103, Spanish Fork, UT 84660-5753 | 2015-05-27 |
| 1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
| 1851686588 | Walking Comfort LLC. | Prosthetic/Orthotic Supplier | 627 W. Marketplace Dr., Centerville, UT 84014-0000 | 2011-06-10 |
| 1275762254 | Paiute Indian Tribe of Utah | Prosthetic/Orthotic Supplier | 157 N Paiute Dr Reservation Rd., Kanosh, UT 84637 | 2009-07-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.