OrganizationActive
Alpine Spinal Rehabilitation Ctr
NPI 1578731949 · Chiropractor · Provo, UT
Provider details
- NPI number
- 1578731949
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Jerry Clark, Owner/President(801) 374-2774
- License
- 166844-1202 (UT)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3325 N University Ave Ste 125
Provo, UT 84604-6615
Phone: (801) 374-2774
Fax: (801) 374-2775
Street-level locationGet directions
Mailing address
3325 N University Ave Ste 125
Provo, UT 84604-6615
Registry dates
- Enumerated
- 2008-02-19
- Last updated
- 2016-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.