| Wasatch Physical Therapy & Sports Medicine At Park City | |
|
597 Parkway Dr, Suite C, Park City, UT 84098-5731 | |
| (435) 649-7335 | |
| (435) 649-7568 |
| Full Name | Wasatch Physical Therapy & Sports Medicine At Park City |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 597 Parkway Dr, Park City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730194507 | NPI | - | NPPES |
| 000057095 | Other | UT | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Dan S Ivie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861484131 PECOS PAC ID: 4284535030 Enrollment ID: I20040115000816 |
| Provider Name | Brandon Riley Judd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407876667 PECOS PAC ID: 0749225043 Enrollment ID: I20050627001403 |
| Provider Name | Lauren J Ziaks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467680835 PECOS PAC ID: 3274850649 Enrollment ID: I20150323002584 |
| Provider Name | Jennifer L Maki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871589895 PECOS PAC ID: 7416258413 Enrollment ID: I20151216002195 |
| Provider Name | Matthew James Krammen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700416245 PECOS PAC ID: 2769819622 Enrollment ID: I20200402000610 |
| Mailing Address | Practice Location Address |
|---|---|
| Wasatch Physical Therapy & Sports Medicine At Park City Po Box 982287, Park City, UT 84098-2287 Ph: (435) 649-7335 | Wasatch Physical Therapy & Sports Medicine At Park City 597 Parkway Dr, Suite C, Park City, UT 84098-5731 Ph: (435) 649-7335 |
Kathleen S Bochnowski, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6030 Market St, Suite 135, Park City, UT 84098 Phone: 435-575-0345 Fax: 435-575-0346 | |
Avery Nicole Alexander, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1850 Sidewinder Dr, Park City, UT 84060 Phone: 435-645-9095 | |
Mrs. Larissa Gizelle Neal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, 200, Park City, UT 84098 Phone: 888-800-8744 | |
Kristen Prejean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Ctr Dr, Park City, UT 84098 Phone: 888-800-8744 | |
Sandra Michele Saluti, M.S.,P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Park City, UT 84098 Phone: 888-800-8744 | |
Sarah B Vaughan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 866-474-6677 | |
Ms. Kieran Angelica Glenbockie, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 888-800-8744 |