SPINE ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC
NPI 1447275946
Clinic/Center - Physical Therapy in Provo, UT

Q: What is Spine Orthopedic & Sports Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Active since July 13, 2006

3303 N UNIVERSITY AVE, PROVO, UT 84604(801) 373-7438(801) 373-7486 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2026, Oct 10, 2025, Jul 2, 2024 and 1 more (4 updates tracked since 2021).

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About Spine Orthopedic & Sports Physical Therapy Llc NPPES

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

SPINE ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC (NPI 1447275946), doing business as Fyzical Spine, Orthopedic, Sports Therapy & Balance Center, is a healthcare organization registered as a physical therapy in Provo, Utah and active in the NPI registry since July 2006. The organization maintains 3 additional practice locations and lists Eric Douglass, Cco, as its authorized official.

NPPES Registry Identity

NPI1447275946

Entity TypeOrganization

Primary Taxonomy261QP2000X

Legal Business NameSPINE ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC

Location Address3303 N UNIVERSITY AVEProvo, UT 84604-4438

Mailing AddressPo Box 632650Cincinnati, OH 45263-2650 · (702) 268-7213 · Fax (702) 818-5001

Phone(801) 373-7438

Fax(801) 373-7486

Organization SubpartNo

Authorized OfficialEric DouglassCco · (941) 870-4401

Enumeration DateJuly 13, 2006

Last NPPES UpdateJuly 2, 20264 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1447275946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities

Taxonomy Code261QP2000X

Definition

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Also ListedPhysical TherapistTaxonomy 225100000X

3303 N UNIVERSITY AVE, Provo, UT 84604

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Other Names 1

Doing Business AsFyzical Spine, Orthopedic, Sports Therapy & Balance Center

Secondary Practice Locations 3

Location 16717 S 900 E Ste 201Midvale, UT 84047-5755 · Phone (801) 649-4690 · Fax (801) 984-4011

Location 2360 S State St Ste C110Orem, UT 84058-5729 · Phone (801) 850-9146 · Fax (801) 374-7486

Location 33401 N Center St Ste 200Lehi, UT 84043-7499 · Phone (385) 309-1951 · Fax (385) 248-5690

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

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 11 clinicians reassign Medicare billing to Spine Orthopedic & Sports Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.