LAYTON PHYSICAL THERAPY & SPORTS MEDICINE INC (NPI# 1720133507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720133507 |
| Entity Type | Organization |
| Organization Name | LAYTON PHYSICAL THERAPY & SPORTS MEDICINE INC |
| Practice Address |
1868 N. 1200 W. Ste #a Layton UT 84041-1937 |
| Practice Telephone | 8017284624 |
| Practice Fax Number | 8017763087 |
| Mailing Telephone | 8017284624 |
| Mailing Fax Number | 8017763087 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | MR. ALAN J KERBS (PROVIDER/OWNER) |
| Authorized Official Telephone | 8017284624 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 274721-2401 | UT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | MEDICARE PTAN | 000057903 | 01 |
| UT | 528132106010 | 05 |
| Street Address |
1868 N. 1200 W. STE #A |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| 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 |
|---|---|---|---|---|
| 1972681021 | Kenneth R. Kofoed | Specialist | 1660 W Antelope Dr, Suit 115, Layton, UT 84041-1156 | 2006-11-02 |
| 1811345952 | Deborah Stauffer | Specialist | 201 W Layton Pkwy Fl 3, Layton, UT 84041-3692 | 2016-05-31 |
| 1689868523 | Utah Hematology Oncology PC | Specialist | 2132 N 1700 W, Suite 301, Layton, UT 84041-7057 | 2007-09-04 |
| 1780895532 | Rocky Mountain Therapeutic Massage | Specialist | 1025 N Main St, Layton, UT 84041-4857 | 2007-05-24 |
| 1508073545 | Kidney & Hypertension Institute of Utah Pllc | Specialist | 2132 N 1700 W, Ste 110, Layton, UT 84041-7057 | 2007-05-17 |
| 1669594727 | Davis Hospital Holdings, Inc. | Specialist | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2007-04-06 |
| 1215060413 | Alexander Ramirez | Specialist | 2075 University Park Blvd, Layton, UT 84041-1611 | 2007-03-14 |
| 1811043789 | Lds Family Services | Specialist | 930 W Hill Field Rd, Suite A, Layton, UT 84041-4687 | 2007-01-25 |
| 1861560351 | Great Basin Anesthesia | Specialist | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2006-12-01 |
| 1508952615 | Lori K Ramirez | Specialist | 2075 University Park Blvd, Layton, UT 84041-1611 | 2006-10-05 |
| Find all providers in LAYTON | ||||
Please comment or provide details below to improve the information on LAYTON 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.