Organization
PEAK REHABILITATION AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARTLEY BRETT MORTENSEN MS, PT, ATC (PRESIDENT)
(801) 568-0240
Entity
Organization
Contact information
Practice address
6782 S 1300 E, SALT LAKE CITY, UT 84121-2719
(801) 568-0240
(801) 568-9336
Mailing address
6782 S 1300 E, SALT LAKE CITY, UT 84121-2719
(801) 568-0240
(801) 568-9336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6262252-2401
UT
2251E1200X
Ergonomics Physical Therapist
5571167-2401
UT
2251S0007X
Sports Physical Therapist
5132199-2401
UT
2251X0800X
Orthopedic Physical Therapist
5132199-2401
UT
2251X0800X
Orthopedic Physical Therapist
5571167-2401
UT
2251X0800X
Orthopedic Physical Therapist
6262252-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522371229001
—
UT
05
—
529596285001
—
UT
Enumeration date
07/02/2007
Last updated
09/11/2025
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