Orthopaedic Therapy and Sports Performance LLC
NPI 1104119957 · Physical Therapy Clinic/Center · Brigham City, UT
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Orthopaedic Therapy and Sports Performance LLC is a Physical Therapy Clinic/Center organization in Brigham City, UT (NPI 1104119957).
Provider details
- NPI number
- 1104119957
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Taylor, Credentialing Rep(801) 505-0821
Specialties & taxonomies
Ambulatory Health Care Facilities
- Specialist174400000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2011-05-25
- Last updated
- 2017-01-26
Frequently asked questions
- What is Orthopaedic Therapy and Sports Performance LLC's NPI number?
- Orthopaedic Therapy and Sports Performance LLC's National Provider Identifier (NPI) is 1104119957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Orthopaedic Therapy and Sports Performance LLC?
- Orthopaedic Therapy and Sports Performance LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Orthopaedic Therapy and Sports Performance LLC located?
- Orthopaedic Therapy and Sports Performance LLC's practice location on file with NPPES is 1030 S Medical Dr, Brigham City, UT 84302-0739.
- What is Orthopaedic Therapy and Sports Performance LLC's phone number?
- The practice phone number listed in the NPPES registry for Orthopaedic Therapy and Sports Performance LLC is (435) 538-5111.
- Does Orthopaedic Therapy and Sports Performance LLC accept Medicare?
- Orthopaedic Therapy and Sports Performance LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Orthopaedic Therapy and Sports Performance LLC?
- The authorized official listed on Orthopaedic Therapy and Sports Performance LLC's NPPES record is Susan Taylor, Credentialing Rep. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Orthopaedic Therapy and Sports Performance LLC's NPI active?
- Yes — Orthopaedic Therapy and Sports Performance LLC's NPI (1104119957) is active in the NPPES registry as of the last update on 2017-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.