OrganizationActive
Mountain Moments
NPI 1306466636 · Health Service Clinic/Center · Park City, UT
Provider details
- NPI number
- 1306466636
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carly Brooks, Ceo/Founder(206) 795-4360
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1154 Center Dr Ste D250
Park City, UT 84098-1258
Phone: (206) 795-4360
Street-level locationGet directions
Mailing address
Po Box 683745
Park City, UT 84068-3745
Registry dates
- Enumerated
- 2020-04-16
- Last updated
- 2020-04-16
- Certified
- 2020-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.