Provider Demographics
NPI:1447009030
Name:APEX PERFORMANCE AND PHYSICAL THERAPY
Entity type:Organization
Organization Name:APEX PERFORMANCE AND PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:COURT
Authorized Official - Last Name:ZOLLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:801-210-0464
Mailing Address - Street 1:844 S 800 W STE 206
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-4567
Mailing Address - Country:US
Mailing Address - Phone:801-210-0464
Mailing Address - Fax:
Practice Address - Street 1:844 S 800 W STE 206
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-4567
Practice Address - Country:US
Practice Address - Phone:801-210-0464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy