WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC – Chiropractor, NPI 1881094431

WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC is a healthcare provider. based in Highland, Utah. specializing in Chiropractor. The organization holds a License No. 6374884-1202 (UT). The NPI Number for WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC is 1881094431

Main info

Organization
Name
WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC
NPI
1881094431
Phone
(940) 453-7602
Address
5442 W 10030 N
Authorized Official
COURTNEY JOHNSON OWNER D.C.
Enumeration Date
2 September 2014
Last Update Date
18 November 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC

  • 5442 W 10030 N

    HIGHLAND, UT 840039170

    Phone: (940) 453-7602

    Type: Mailing

  • 230 N 1200 E

    102

    LEHI, UT 840435865

    Phone: (940) 453-7602

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20141118000285OClinic/Group PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 84003)

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Reviews

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Frequently asked questions

Is there an official ID for WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC in U.S. healthcare records?
The official identifier for WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC is NPI 1881094431.
Active or inactive — what applies to WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC?
You should see WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC as active in CMS-hosted NPPES data.
What clinical focus is listed for WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC?
At a glance, WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC is tied to Chiropractor. Clinical services aligned with this taxonomy classification.
What locale is associated with WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC?
Directory geography for WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC centers on Highland, Utah.
Can I trust this NPI listing for WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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