Mark H Peterson (NPI# 1528089224, PAC ID# 7214104579) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1528089224 |
| PAC ID by PECOS | 7214104579 |
| Professional Enrollment ID | I20120127000202 |
| Full Name | Mark H Peterson |
| Organization Legal Name | SPINE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY LLC |
| Address |
360 S State St Suite 110 Orem UT 84058-5729 |
| Phone Number | 8013737438 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1850320805 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 360 S State St, Suite 110, Orem, UT 84058-5729 | 8013737438 | SPINE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY LLC |
| 3303 N University Ave, Provo, UT 84604-4438 | 8013737438 | SPINE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY LLC |
| Organization Legal Name | SPINE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rogan L Taylor | Physical Therapy | Spine Orthopedic and Sports Physical Therapy LLC | 3303 N University Ave, Provo, UT 84604-4438 |
| Kimball R Taylor | Physical Therapy | Spine Orthopedic and Sports Physical Therapy LLC | 360 S State St, Suite 110, Orem, UT 84058-5729 |
| Brett Austin Mcwilliams | Physical Therapy | Spine Orthopedic and Sports Physical Therapy LLC | 3401 N Ctr St, Suite 200, Lehi, UT 84043-7499 |
| Robert W Lund | Physical Therapy | Spine Orthopedic and Sports Physical Therapy LLC | 3303 N University Ave, Provo, UT 84604-4438 |
| Reed Winston Carter | Physical Therapy | Spine Orthopedic and Sports Physical Therapy LLC | 3303 N University Ave, Provo, UT 84604-4438 |
| Brandon K Bliss | Physical Therapy | Spine Orthopedic and Sports Physical Therapy LLC | 3401 N Ctr St, Suite 200, Lehi, UT 84043-7499 |
| Riley T Nielson | Physical Therapy | Spine Orthopedic and Sports Physical Therapy LLC | 3303 N University Ave, Provo, UT 84604-4438 |
| Jay D Turner | Qualified Audiologist | Spine Orthopedic and Sports Physical Therapy LLC | 3303 N University Ave, Provo, UT 84604-4438 |
| Jason Thomas Loveless | Physical Therapy | Spine Orthopedic and Sports Physical Therapy LLC | 3303 N University Ave, Provo, UT 84604-4438 |
| Street Address |
360 S STATE ST SUITE 110 |
| City | OREM |
| State | UT |
| Zip | 84058-5729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimball R Taylor | Physical Therapy | Spine Orthopedic and Sports Physical Therapy LLC | 360 S State St, Suite 110, Orem, UT 84058-5729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerald P Boseman | Nephrology | Nephrology Associates of Utah,l.l.c. | 121 S Orem Blvd, Suite 103, Orem, UT 84058-3006 |
| David R Miller | Physician Assistant | 257 S Orem Blvd, Orem, UT 84058-3009 | |
| Paul H Gurney | Chiropractic | 489 S Orem Blvd, Orem, UT 84058-3102 | |
| Christian K Hansen | Chiropractic | Corporate Chiropractic Inc | 218 E 800, Orem, UT 84058-5008 |
| Lee H Gunther | Chiropractic | Lee Hartman Gunther | 218 E 800, Orem, UT 84058-5008 |
| Scott David Peterson | Family Medicine | Central Utah Clinic P C | 575 S State St, Orem, UT 84058-6303 |
| Rebekah Mae Griffin | Nurse Practitioner | Central Utah Clinic P C | 575 S State St, Orem, UT 84058-6303 |
| David Noel Peterson | Family Practice | Central Utah Clinic P C | 575 S State St, Orem, UT 84058-6303 |
| Antoine H Harris | Chiropractic | 382 E 720, Orem, UT 84058-6342 | |
| Rebecca Harvey | Nurse Practitioner | Alliance Behavioral Psychiatry, LLC | 361 E 1200, Suite 201, Orem, UT 84058-6904 |
| Find all physicians in zip 84058 | |||
| City | OREM |
| Zip Code | 84058 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | OREM + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.