SUMMIT PHYSICAL THERAPY & SPORTS MEDICINE, INC. (NPI# 1568516789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568516789 |
| Entity Type | Organization |
| Organization Name | SUMMIT PHYSICAL THERAPY & SPORTS MEDICINE, INC. |
| Practice Address |
228 State Road 248 Ste 248 Kamas UT 84036-8505 |
| Mailing Address |
Po Box 13 Heber City UT 84032-0013 |
| Practice Telephone | 4356540804 |
| Practice Fax Number | 4356543314 |
| Mailing Telephone | 4356540804 |
| Mailing Fax Number | 4356543314 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-10-09 |
| Authorized Official Name | MR. BYRON H. HORNER (OWNER) |
| Authorized Official Telephone | 4356540804 |
| Authorized Official Credential | M.S.P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4819784-2401 | UT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 529415583005 | 05 |
| Street Address |
228 STATE ROAD 248 STE 248 |
| City | KAMAS |
| State | UT |
| Zip Code | 84036-8505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386167401 | Jeffery Dan Smith | Pharmacist | 146 West 200 South, Kamas, UT 84036 | 2017-07-20 |
| 1255740734 | Gateway Dentistry P.C. | Clinic/Center | 228 W 200 S Suite 1a, Kamas, UT 84036 | 2014-08-08 |
| 1811154321 | Clive Russell Hallam | Counselor | 60 No. Main Street, Kamas, UT 84036 | 2008-05-21 |
| 1497890099 | Hi Mountain Drug | Pharmacy | 40 North Main, Kamas, UT 84036 | 2007-02-21 |
| 1548364516 | Kamas Food Inc | Pharmacy | 146 W 200 S, Kamas, UT 84036 | 2006-09-12 |
| 1922550136 | Expansive Horizons Counseling & Psychological Services, LLC | Community/Behavioral Health | 228 West 200 South, Suite 2e, Kamas, UT 84036 | 2016-11-04 |
| 1992980866 | Donald Wain Allen | Clinic/Center | 228 West 200 South, Suite 2, Kamas, UT 84036-0159 | 2008-01-09 |
| 1043501257 | Gregory Iverson Family Medicine, Pllc | Clinic/Center | 228 West 200 South, Kamas, UT 84036-0159 | 2011-04-21 |
| 1144259805 | County of Summit | Ambulance | 210 East 400 South, Kamas, UT 84036-0266 | 2006-07-02 |
| 1164987806 | Nicholas Paul Sheahan | Behavior Technician | 13292 Alexis Dr, Kamas, UT 84036-5517 | 2019-02-06 |
| Find all providers in zip 84036 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710061460 | Byron H Horner | Specialist | 228 West State Road 248, Suite A, Kamas, UT 84036-9595 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045237 | Brian Baker | Specialist | 8796 S 4770 W, West Jordan, UT 84088-4930 | 2019-10-19 |
| 1477112464 | Protectus Wound Care | Specialist | 4 Ravenwood Ln, Sandy, UT 84092-4849 | 2019-06-12 |
| 1255803920 | Premier Pediatrics LLC | Specialist | 48 S 2500 W Ste 220, Hurricane, UT 84737-3380 | 2018-12-19 |
| 1255824090 | Jose Ramiro Izquierdo | Specialist | 6975 S Union Park Ctr, Cottonwood Heights, UT 84047-6048 | 2018-06-06 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1306352091 | Gary Thomas | Specialist | 1820 Sidewinder Dr Ste 100, Park City, UT 84060-7563 | 2017-12-18 |
| 1922533751 | Natasha Peterson | Specialist | 84 E 150 N, American Fork, UT 84003-1624 | 2017-04-30 |
| 1265967814 | Sahra Askalany Affleck | Specialist | 5543 W 10180 N, Highland, UT 84003-9154 | 2017-04-20 |
| 1699209221 | Mountain Spine PC | Specialist | 11613 S State St, Draper, UT 84020-9456 | 2017-04-20 |
| 1215475116 | Megan Porter | Specialist | 307 N 300 W Ste 301, Kaysville, UT 84037-1852 | 2017-02-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUMMIT PHYSICAL THERAPY & SPORTS MEDICINE, INC..
| 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.