Canyon Sports Therapy Inc
NPI 1083920052ActiveOrganization· Physical Therapist· Holladay, UT
Physical Therapist in Holladay, Utah, registered in NPPES in August 2010. The authorized official on file is Beatrice M. Monteyne, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083920052 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2010 |
| Last updated in NPPES | Sep 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 121600-2401 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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