Canyon Sports Therapy Inc - Medicare Physical Therapist in Holladay, UT

Canyon Sports Therapy Inc is a medicare enrolled "Physical Therapist" provider in Holladay, Utah. Their current practice location is 6069 Highland Dr, Holladay, Utah. You can reach out to their office (for appointments etc.) via phone at (801) 944-1209.

Canyon Sports Therapy Inc is licensed to practice in Utah (license number 121600-2401) and it also participates in the medicare program. Canyon Sports Therapy Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1083920052.

Contact Information

Canyon Sports Therapy Inc
6069 Highland Dr,
Holladay, UT 84121-1375
(801) 944-1209
(801) 274-1180

Map and Direction




Healthcare Provider's Profile

Full NameCanyon Sports Therapy Inc
TypeFacility
SpecialityPhysical Therapist
Location6069 Highland Dr, Holladay, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083920052
  • Provider Enumeration Date: 08/27/2010
  • Last Update Date: 09/09/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2062606312
  • Enrollment ID: O20101030000151

Medical Identifiers

Medical identifiers for Canyon Sports Therapy Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083920052NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 121600-2401 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Canyon Sports Therapy Inc acts as a billing entity for following providers:
Provider NameJohn W Feig
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245243864
PECOS PAC ID: 8628262979
Enrollment ID: I20101030000117
Provider NameDaniel J Hansen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033406137
PECOS PAC ID: 7810160413
Enrollment ID: I20111026000678
Provider NameMatthew C Zollinger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891289740
PECOS PAC ID: 1557613411
Enrollment ID: I20200818003710
Provider NameAndrew Proctor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083384069
PECOS PAC ID: 3971995150
Enrollment ID: I20220428001138
Provider NameTessa A Netelbeek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811593627
PECOS PAC ID: 4587065925
Enrollment ID: I20230110002816

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Canyon Sports Therapy Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Canyon Sports Therapy Inc
Po Box 71403,
Salt Lake City, UT 84171-0403

Ph: (801) 944-1209
Canyon Sports Therapy Inc
6069 Highland Dr,
Holladay, UT 84121-1375

Ph: (801) 944-1209

Reviews and Comments


Physical Therapist in Holladay, UT

Nathan Paul Philpott, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4600 Wellington St, Holladay, UT 84117
Phone: 801-815-2045    
Steady And Well Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4600 S Wellington St, Holladay, UT 84117
Phone: 801-815-2045    
Jeremy Christopher Mccorristin, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4782 S Holladay Blvd, Holladay, UT 84117
Phone: 801-277-7002    
Melissa Jayne Allen, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4624 S Holladay Blvd Ste 2, Holladay, UT 84117
Phone: 801-277-1028    
Mvp Sports Science Institute Inc
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1826 Cottonwood Club Dr, Holladay, UT 84117
Phone: 801-244-1292    Fax: 801-273-7474
Mr. Stanley Ardel Bingham, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2040 Murray Holladay Rd, 205, Holladay, UT 84117
Phone: 801-274-0299    Fax: 801-274-0947

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.