Advanced Physical Therapy and Sports Medicine
NPI 1225351570ActiveOrganization· Specialist· Holladay, UT
Specialist in Holladay, Utah, registered in NPPES in March 2010. The authorized official on file is Willis Clyde, PT, Owner/Pt.
Overview
| NPI | 1225351570 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 1, 2010 |
| Last updated in NPPES | Aug 30, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 1173432401 | 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 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Holladay
- 1730505520