CUSTOM PHYSICAL THERAPY
NPI 1508531815
Clinic/Center - Physical Therapy in Logan, UT

Active since August 10, 2021
135 N MAIN ST STE 104, LOGAN, UT 84321(435) 557-0709(435) 213-2483 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2021, Aug 10, 2021 (2 updates tracked since 2021).

About Custom Physical Therapy NPPES

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

CUSTOM PHYSICAL THERAPY (NPI 1508531815) is a healthcare organization registered as a physical therapy in Logan, Utah and active in the NPI registry since August 2021. The organization lists Angela Knowles Smith, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1508531815
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameANGELA K SMITH DPT, LLC
Location Address135 N MAIN ST STE 104Logan, UT 84321-4587
Mailing Address775 E 2660 NNorth Logan, UT 84341-6747 · (435) 229-7567
Fax(435) 213-2483
Organization SubpartNo
Authorized OfficialAngela Knowles SmithOwner/ceo · (435) 229-7567
Enumeration DateAugust 10, 2021
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
NPI 1508531815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
135 N MAIN ST STE 104, Logan, UT 84321

Other Names 1

Doing Business AsCustom Physical Therapy

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
135 N MAIN ST STE 104
LOGAN, UT 84321

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 Angela K Smith Dpt, LLC's NPI number?

The NPI number for Angela K Smith Dpt, LLC is 1508531815. It was assigned to this organization in the NPPES registry on August 10, 2021. The provider is doing business as Custom Physical Therapy.

Where is Angela K Smith Dpt, LLC located?

Angela K Smith Dpt, LLC is located at 135 N Main St Ste 104, Logan, UT 84321. The listed phone number is (435) 557-0709.

What is Angela K Smith Dpt, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Angela K Smith Dpt, LLC was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.