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Orthopaedic Therapy and Sports Performance LLC

Physical Therapy Clinic/Center in Brigham City, UT · enumerated 2011 · authorized official Susan Taylor, Credentialing Rep.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104119957

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Registry record

Entity type Organization (Type 2)
Legal business name Orthopaedic Therapy and Sports Performance LLC
Practice address 1030 S Medical Dr, Ste B, Brigham City, UT, 84302
Phone (435) 538-5111
Fax (435) 723-9710
Enumeration date May 25, 2011
Last updated in NPPES Jan 26, 2017

Taxonomy & classification

174400000X Specialist Other Service Providers Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Susan Taylor
Title Credentialing Rep
Phone (801) 505-0821

Other identifiers

Identifier Type State Issuer
U000075442 Other UT PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Orthopaedic Therapy and Sports Performance LLC?
NPPES lists Susan Taylor (Credentialing Rep) as the authorized official for this organization.
What is the NPI number for Orthopaedic Therapy and Sports Performance LLC?
The NPI for Orthopaedic Therapy and Sports Performance LLC is 1104119957, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-26.