SPORTS MEDICINE CLINIC
NPI 1013028505
Physical Therapist in Ogden, UT
About Sports Medicine Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPORTS MEDICINE CLINIC (NPI 1013028505) is a healthcare organization registered as a physical therapist in Ogden, Utah and active in the NPI registry since August 2006. The organization lists Chris Holmgren Dahlberg, Corporation President, Business Own, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sports Medicine Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sports Medicine Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kfdd Physical Therapy & Sports Medicine Clinic's NPI number?
The NPI number for Kfdd Physical Therapy & Sports Medicine Clinic is 1013028505. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Sports Medicine Clinic.
Where is Kfdd Physical Therapy & Sports Medicine Clinic located?
Kfdd Physical Therapy & Sports Medicine Clinic is located at 2261 Kiesel Ave. Suite #320, Ogden, UT 84401. The listed phone number is (801) 621-8835.
What is Kfdd Physical Therapy & Sports Medicine Clinic's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kfdd Physical Therapy & Sports Medicine Clinic enrolled in Medicare?
Yes. Kfdd Physical Therapy & Sports Medicine Clinic is registered in the Medicare PECOS enrollment system.
When is Kfdd Physical Therapy & Sports Medicine Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Kfdd Physical Therapy & Sports Medicine Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Kfdd Physical Therapy & Sports Medicine Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kfdd Physical Therapy & Sports Medicine Clinic accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Kfdd Physical Therapy & Sports Medicine Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kfdd Physical Therapy & Sports Medicine Clinic was last updated on April 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.