Alta Therapies Lc
NPI 1962522078ActiveOrganization· Clinic/Center, Multi-Specialty· Clearfield, UT
Clinic/Center, Multi-Specialty in Clearfield, Utah, registered in NPPES in March 2007. The authorized official on file is Dustin Cragun, General Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962522078 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2007 |
| Last updated in NPPES | Oct 23, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| Physical Therapist | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|