OrganizationActive
Avant-Garde LLC
NPI 1164935664 · Physical Therapist · Orem, UT
Provider details
- NPI number
- 1164935664
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Brock Roberts, Managing Director(801) 548-3417
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Chiropractor111N00000X
Chiropractic Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
293 E 930 S
Orem, UT 84058-5001
Phone: (801) 548-3417
Street-level locationGet directions
Mailing address
293 E 930 S
Orem, UT 84058-5001
Other names (DBA / former)
- Doing business as
- Minus 250 Degrees Cryotherapy
Registry dates
- Enumerated
- 2017-11-07
- Last updated
- 2017-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.