PROVO SPORTS AND FAMILY CHIROPRACTIC, INC.
PROVO SPORTS AND FAMILY CHIROPRACTIC, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003088402, based in Provo, UT. It is classified under Sports Physician Chiropractor.
Getting there
Here is what surrounds this office in Provo, based on OpenStreetMap data collected Sep 4, 2026. Parking is available about 769 ft away. The nearest transit stop is 0.48 mi away, served by UTA Route 831 (northbound).
Getting here and what is nearby
Transit 500 W @ 781 N 51 ft ~1 min
Gas station Chevron 309 ft ~2 min
Transit 500 W @ 852 N 408 ft ~2 min
Parking 639 ft ~3 min
Parking 727 ft ~3 min
Parking 769 ft ~3 min
Restaurant Five Sushi Brothers 0.39 mi ~8 min
445 Freedom Boulevard, Provo 84601
Mo-Sa 11:00-14:00,17:00-24:00
Restaurant The Brunch House 0.42 mi ~9 min
1145 North 500 West, Provo 84604
Mo-Su 08:00-14:00
Restaurant Nico's Pizzas (Nicolita's) 0.46 mi ~10 min
Transit UTA Route 831 (northbound) 0.48 mi ~10 min
716 North University Avenue, Provo
Grocery Smith's 0.49 mi ~10 min
350 North Freedom Boulevard, Provo 84601
Mo-Su 06:00-24:00
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 355063-1202 | UT | Sports Physician Chiropractor primary |
This provider holds licence 355063-1202 issued in UT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1658361167
- Enrollment ID
- O20040517000481
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Sports Physician covers
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. NUCC Health Care Provider Taxonomy, code 111NS0005X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003088402 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 26, 2008 |
| Last updated | Mar 28, 2008 |
| Status | Active |
| Practice address |
777 N 500 W STE 205 Provo, UT 84601 (801) 375-2420 Fax (801) 374-8588 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 8 | 8 | 4 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 8 | 7 | 4 | 0 |
Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.