Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alec Eldon Wall, PT

Individual provider Physical Therapist · NPI 1073305181

Alec Eldon Wall, PT is a Physical Therapist in Private Practice in St George, Utah. Qualified in 2025, 1 year ago. Practices with Southwest Spine and Pain Care Specialists LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2891 E Mall Dr Ste 200
St George, UT 84790-2399
Phone: (435) 688-1665
Fax: (435) 619-8634
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14222089-2401 (UT)

Record details

NPI number1073305181
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 22, 2025
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing addressPo Box 912042, St George, UT 84791-2042

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Southwest Spine And Pain Care Specialists Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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