OrganizationActive
Performance Golf & Wellness Clinic
NPI 1093731754 · Physical Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1093731754
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Henry White, Owner(801) 746-8997
- License
- 325159-2401 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1285 Gunn Ave
Salt Lake City, UT 84106-3039
Phone: (801) 746-8997
Fax: (801) 746-8996
Street-level locationGet directions
Mailing address
Po Box 307
Bountiful, UT 84011-0307
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.