Sports Chiropractic of Utah LLC
NPI 1104372184ActiveOrganization· Chiropractor· Midvale, UT
Chiropractor in Midvale, Utah, registered in NPPES in August 2016. The authorized official on file is Jordan Mousley, D.C., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104372184 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2016 |
| Last updated in NPPES | Mar 24, 2023 |
| Certified by provider | Mar 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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