ELITE PERFORMANCE HEALTH CENTER, PC (NPI# 1689813446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689813446 |
Entity Type | Organization |
Organization Name | ELITE PERFORMANCE HEALTH CENTER, PC |
Practice Address |
3630 W South Jordan Parkway Suite 102 South Jordan UT 84095-7153 |
Practice Telephone | 8013020280 |
Practice Fax Number | 8013035040 |
Mailing Telephone | 8013020280 |
Mailing Fax Number | 8013035040 |
Enumeration Date | 2009-02-18 |
Last Update Date | 2009-09-09 |
Authorized Official Name | DR. MATTHEW DAVID SMITH (PHYSICIAN/OWNER) |
Authorized Official Telephone | 8013020280 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
5188785-1202 | UT | Chiropractic Providers |
Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
UT | Chiropractic Providers |
Street Address |
3630 W SOUTH JORDAN PARKWAY SUITE 102 |
City | SOUTH JORDAN |
State | UT |
Zip Code | 84095-7153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
Find all providers in zip 84095 |
Taxonomy Code | 111NS0005X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Sports Physician |
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144844523 | Richard Mason Stewart IIi | Chiropractor | 12371 S 900 E Ste 101, Draper, UT 84020-9834 | 2020-06-02 |
1356820609 | Jared Wadsworth | Chiropractor | 2230 N University Pkwy #6b, Provo, UT 84604-8460 | 2018-08-08 |
1124517982 | Aspen Summit Chiropractic and Wellness | Chiropractor | 726 South 1600 West Suite 101, Mapleton, UT 84664 | 2018-05-08 |
1558875930 | Garrett Dean Barfoot | Chiropractor | 2080 Gold Dust Ln Ste 1, Park City, UT 84060-7294 | 2017-11-21 |
1396159885 | Tyler Leroy Nelson | Chiropractor | 1951 W 4700 S Ste 2, Taylorsville, UT 84129-1108 | 2014-06-12 |
1922347137 | James Garrett Eagar | Chiropractor | 510 E 770 N, Orem, UT 84097-4101 | 2013-02-07 |
1932430782 | Russell D. Jepson | Chiropractor | 301 N 200 E Ste 2a, St George, UT 84770-3040 | 2010-01-19 |
1003055534 | Brigham Lundahl | Chiropractor | 358 W Saint George Blvd, St George, UT 84770-3352 | 2009-02-06 |
1770757569 | Matthew David Smith | Chiropractor | 13552 S 110 W, Ste 204, Draper, UT 84020-2403 | 2008-04-14 |
1134347453 | Glenn Robert Day | Chiropractor | 1283 W 12600 S, Suite 203, Riverton, UT 84065-7118 | 2007-04-23 |
Find all providers with the same taxonomy |
City | SOUTH JORDAN |
Zip Code | 84095 |
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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.