OrganizationActive
Advanced Physical Therapy and Sports Medicine
NPI 1225351570 · Specialist · Holladay, UT
Provider details
- NPI number
- 1225351570
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Willis Clyde, Owner/Pt(435) 654-0410
- License
- 1173432401 (UT)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
999 Murray Holladay Road
#102
Holladay, UT 84117
Phone: (385) 388-4994
Fax: (435) 654-3314
Street-level locationGet directions
Mailing address
P.o. Box 13
Heber City, UT 84032
Registry dates
- Enumerated
- 2010-03-01
- Last updated
- 2016-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.