OrganizationActive
Fitness Rehab LLC
NPI 1427121607 · Physical Therapist · Provo, UT
Provider details
- NPI number
- 1427121607
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- James Nackos, Owner(801) 375-6500
- License
- 5133156-2401 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3089 N Canyon Rd
Provo, UT 84604-3920
Phone: (801) 375-6500
Fax: (801) 375-6505
Street-level locationGet directions
Mailing address
Po Box 307
Bountiful, UT 84011-0307
Other names (DBA / former)
- Doing business as
- Personal Fitness Systems Physical Therapy
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2007-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.