Sports Medicine Specialists - Bountiful – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1114057924

Sports Medicine Specialists - Bountiful is a healthcare provider. based in Salt lake city, Utah. specializing in Sports Medicine (Physical Medicine & Rehabilitation) Physician. The organization holds a License No. 2006-32348 (UT). The NPI Number for Sports Medicine Specialists - Bountiful is 1114057924

Main info

Organization
Name
Sports Medicine Specialists - Bountiful
NPI
1114057924
Phone
(801) 990-6286
Address
PO BOX 27128
Authorized Official
DR. LINDA C LECKMAN CEO INTERMOUNTAIN MEDICAL GROUP MD
Enumeration Date
7 March 2007
Last Update Date
27 August 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Sports Medicine Specialists - Bountiful

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (801) 990-6286

    Type: Mailing

  • 280 N MAIN ST

    BOUNTIFUL, UT 840106136

    Phone: (801) 298-2495

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84127)

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Frequently asked questions

What NPI should I save for Sports Medicine Specialists - Bountiful?
Save NPI 1114057924 if you need a stable reference for Sports Medicine Specialists - Bountiful.
Is Sports Medicine Specialists - Bountiful active in the national directory?
Sports Medicine Specialists - Bountiful's public NPI profile is in an active state.
What does Sports Medicine Specialists - Bountiful treat or focus on?
Patients typically see Sports Medicine Specialists - Bountiful under the specialty Sports Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Does Sports Medicine Specialists - Bountiful practice in Utah?
You will see Salt Lake City, Utah on file for Sports Medicine Specialists - Bountiful alongside any extra practice locations.
How can I contact Sports Medicine Specialists - Bountiful?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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