Spine Orthopedic & Sports Physical Therapy Llc - Medicare in Provo, UT

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Spine Orthopedic & Sports Physical Therapy Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Provo, Utah. Their current practice location is 3303 N University Ave, Provo, Utah. You can reach out to their office (for appointments etc.) via phone at (801) 373-7438.

Spine Orthopedic & Sports Physical Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Spine Orthopedic & Sports Physical Therapy Llc 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 1447275946.

Contact Information

Spine Orthopedic & Sports Physical Therapy Llc
3303 N University Ave,
Provo, UT 84604-4438
(801) 373-7438
(801) 373-7486

Map and Direction




Healthcare Provider's Profile

Full NameSpine Orthopedic & Sports Physical Therapy Llc
TypeFacility
SpecialityClinic/center - Physical Therapy
Location3303 N University Ave, Provo, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447275946
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 10/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1850320805
  • Enrollment ID: O20050810000154

Medical Identifiers

Medical identifiers for Spine Orthopedic & Sports Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447275946NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Spine Orthopedic & Sports Physical Therapy Llc acts as a billing entity for following providers:
Provider NameBrandon K Bliss
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720167752
PECOS PAC ID: 7113926049
Enrollment ID: I20061204000233
Provider NameKimball R Taylor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437383890
PECOS PAC ID: 1153472733
Enrollment ID: I20090622000092
Provider NameMark H Peterson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528089224
PECOS PAC ID: 7214104579
Enrollment ID: I20120127000202
Provider NameRogan L Taylor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356333611
PECOS PAC ID: 8022047075
Enrollment ID: I20120207000850
Provider NameDouglas Ashton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972900959
PECOS PAC ID: 3971814773
Enrollment ID: I20150718000019
Provider NameRobert W Lund
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598122657
PECOS PAC ID: 5890092381
Enrollment ID: I20160329000637
Provider NameSamuel Mckay Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518604370
PECOS PAC ID: 5193103091
Enrollment ID: I20220606001556
Provider NameChandler J Birks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447935515
PECOS PAC ID: 6204296999
Enrollment ID: I20230712004522
Provider NameTrevor M Cannon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649959552
PECOS PAC ID: 7315309317
Enrollment ID: I20230808001460
Provider NameRyan E Pinckney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336914217
PECOS PAC ID: 8921451402
Enrollment ID: I20240131003860
Provider NameAndrew Jimin Gottfredson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861230922
PECOS PAC ID: 8426594391
Enrollment ID: I20240726003822
Provider NameJeffery Dale Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225707599
PECOS PAC ID: 5799203568
Enrollment ID: I20250515001205

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. Spine Orthopedic & Sports Physical Therapy Llc 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
Spine Orthopedic & Sports Physical Therapy Llc
Po Box 632650,
Cincinnati, OH 45263-2650

Ph: (702) 268-7213		Spine Orthopedic & Sports Physical Therapy Llc
3303 N University Ave,
Provo, UT 84604-4438

Ph: (801) 373-7438

Reviews and Comments



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.