ALTA PAIN PHYSICIANS PLLC NPI 1063721850

NPI Information

  • NPI: 1063721850
  • Provider Name: ALTA PAIN PHYSICIANS, PLLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 46D2015635
  • Address: 11333 S 1000 E
    #102
    SANDY, UT
    ZIP 84094
  • Phone: (801) 462-2205

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NPI Details

ALTA PAIN PHYSICIANS, PLLC is an interventional pain medicine pain medicine in Sandy, UT. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. ALTA PAIN PHYSICIANS, PLLC NPI is 1063721850. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11333 S 1000 E
#102
SANDY, UT
ZIP 84094-428
Phone: (801) 462-2205
Fax: (801) 750-1030

The provider's authorized official is Ryshelle Hubert .
The authorized official title is Practice Manager and has the following contact phone number (801) 750-8210.

The CLIA number assigned to this NPI record is 46D2015635 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2010 and was last updated on 11/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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