PHYSICAL THERAPY AND SPORTS MEDICINE LLC
NPI 1053573469
Specialist in Mountain Green, UT

Active since June 26, 2008
4883 W. OLD HIGHWAY RD., MOUNTAIN GREEN, UT 84050(801) 728-4624(801) 776-3087 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Physical Therapy And Sports Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICAL THERAPY AND SPORTS MEDICINE LLC (NPI 1053573469) is a healthcare organization registered as a specialist in Mountain Green, Utah and active in the NPI registry since June 2008. The organization lists Alan J Kerbs, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1053573469
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePHYSICAL THERAPY AND SPORTS MEDICINE LLC
Location Address4883 W. OLD HIGHWAY RD.Mountain Green, UT 84050
Mailing Address1868 N. 1200 W., Ste #aLayton, UT 84041-1937 · (801) 728-4624 · Fax (801) 776-3087
Fax(801) 776-3087
Organization SubpartNo
Authorized OfficialAlan J KerbsProvider/owner · (801) 728-4624
Enumeration DateJune 26, 2008
Last NPPES UpdateApril 20, 2017
✔ NPI 1053573469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in UT · 274721 2401
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4883 W. OLD HIGHWAY RD., Mountain Green, UT 84050

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physical Therapy And Sports Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Physical Therapy And Sports Medicine LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1952485625
1868 N 1200 W STE A
Layton, UT 84041
(801) 728-4624
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1639755283
1868 N 1200 W STE A
Layton, UT 84041
(801) 675-0608
✔ Accepts Medicare12 mi
Physical Therapist in Private Practice
NPI 1740696111
2625 W HORIZON RIDGE PKWY SUITE 120
Henderson, NV 89052
(702) 896-0383
✔ Accepts Medicare397 mi

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 Physical Therapy And Sports Medicine LLC's NPI number?

The NPI number for Physical Therapy And Sports Medicine LLC is 1053573469. It was assigned to this organization in the NPPES registry on June 26, 2008.

Where is Physical Therapy And Sports Medicine LLC located?

Physical Therapy And Sports Medicine LLC is located at 4883 W. Old Highway Rd., Mountain Green, UT 84050. The listed phone number is (801) 728-4624.

What is Physical Therapy And Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Physical Therapy And Sports Medicine LLC enrolled in Medicare?

Yes. Physical Therapy And Sports Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physical Therapy And Sports Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Physical Therapy And Sports Medicine LLC. 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 Physical Therapy And Sports Medicine LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Physical Therapy And Sports Medicine LLC 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 Physical Therapy And Sports Medicine LLC was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.