WELLSPRING PHYSICAL THERAPY, LLC
NPI 1265513774
Physical Therapist in Midway, UT
About Wellspring Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPRING PHYSICAL THERAPY, LLC (NPI 1265513774) is a healthcare organization registered as a physical therapist in Midway, Utah and active in the NPI registry since October 2006. The organization maintains a secondary practice location in Midway and lists Krista J Clark, Owner/physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- 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.
Secondary Practice Location 1
Other Identifiers 4
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)
Wellspring Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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 Wellspring Physical Therapy, LLC, 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 Wellspring Physical Therapy, LLC's NPI number?
The NPI number for Wellspring Physical Therapy, LLC is 1265513774. It was assigned to this organization in the NPPES registry on October 18, 2006.
Where is Wellspring Physical Therapy, LLC located?
Wellspring Physical Therapy, LLC is located at 210 E Main St Ste 111, Midway, UT 84049. The listed phone number is (435) 657-0123.
What is Wellspring Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Wellspring Physical Therapy, LLC enrolled in Medicare?
Yes. Wellspring Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
When is Wellspring Physical Therapy, LLC'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 December 31, 2026. 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 Wellspring Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Wellspring Physical Therapy, 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 Wellspring Physical Therapy, LLC accept?
Health plans from University of Utah Health Plans list Wellspring Physical Therapy, 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 Wellspring Physical Therapy, LLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Wellspring Physical Therapy, Llc · NPI 1265513774
Physical Therapist organization in Midway, Utah. Organization record, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1265513774 (Entity type: Organization)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Krista Clark, OWNER/PHYSICAL THERAPIST
## Practice location
- **Address:** 210 E MAIN ST STE 111, Midway, UT 84049-6828
- **Phone:** (435) 657-0123 · **Fax:** (435) 657-0330
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Utah, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2018
- **Other identifiers:** Other 67054 (UT); Other 11618724000001 (UT); Medicaid 5291725170001 (UT); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1265513774) · Data from the CMS NPPES public registry.