| Physical & Sports Therapy Services, Llc | |
|
380 E 400 S, Springville, UT 84663-1958 | |
| (801) 489-5669 | |
| (801) 489-5783 |
| Full Name | Physical & Sports Therapy Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 380 E 400 S, Springville, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326149865 | NPI | - | NPPES |
| PR01090 | Medicaid | UT | |
| 1326149865 | Medicaid | UT | |
| 378784100 | Other | USDOL OWCP | |
| QM0000076371 | Other | UT | ALTIUS HEALTH PLANS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Craig A Schultz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508852484 PECOS PAC ID: 9234153347 Enrollment ID: I20060117000290 |
| Provider Name | Brad A Mangum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316992548 PECOS PAC ID: 2668486440 Enrollment ID: I20060131000922 |
| Provider Name | William G Sumsion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659367845 PECOS PAC ID: 4183616469 Enrollment ID: I20060202000242 |
| Provider Name | Greg R Thorpe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316933500 PECOS PAC ID: 7719991421 Enrollment ID: I20060202000247 |
| Provider Name | Darren H Averett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548232549 PECOS PAC ID: 1254491814 Enrollment ID: I20081201000080 |
| Provider Name | Kyle C Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932523792 PECOS PAC ID: 8224261292 Enrollment ID: I20140428000379 |
| Provider Name | Jace Brinkerhoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942669833 PECOS PAC ID: 2365749934 Enrollment ID: I20160324002004 |
| Provider Name | Jordan Robert Sumsion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629693106 PECOS PAC ID: 8426470568 Enrollment ID: I20200618002803 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical & Sports Therapy Services, Llc 380 E 400 S, Springville, UT 84663-1958 Ph: (801) 489-5669 | Physical & Sports Therapy Services, Llc 380 E 400 S, Springville, UT 84663-1958 Ph: (801) 489-5669 |
Coleby Clawson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 655 E 400 S, Ste G, Springville, UT 84663 Phone: 801-704-9405 Fax: 801-704-9407 | |
Greg R Thorpe, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 380 E 400 S, Springville, UT 84663 Phone: 801-489-5669 Fax: 801-489-5783 | |
Thomas Eastman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 380 E 400 S, Springville, UT 84663 Phone: 801-489-5669 Fax: 801-489-5783 | |
Orion Wilson, PT, DPT, ATC, CERTDN Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 655 E 400 S Ste C, Springville, UT 84663 Phone: 435-612-3045 | |
Jordan Robert Sumsion, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 380 E 400 S, Springville, UT 84663 Phone: 801-489-5669 Fax: 801-489-5783 | |
Brian B Lambert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 380 E 400 S, Springville, UT 84663 Phone: 801-489-5669 Fax: 801-489-5783 |