OrganizationActive
Elevated Performance and Rehabilitation
NPI 1285313452 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Ogden, UT
Provider details
- NPI number
- 1285313452
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Speicher, President(801) 689-2546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1710 E 5600 S
Ogden, UT 84403
Phone: (801) 689-2546
Street-level locationGet directions
Mailing address
1214 E 3150 N
Ogden, UT 84414-1838
Registry dates
- Enumerated
- 2023-07-14
- Last updated
- 2023-07-14
- Certified
- 2023-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.