Individual provider Active NPI

Trevor Hillock

  • Physical Therapist
  • Herriman, UT
National Provider Identifier
1033902259
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14224009-2401 Issued in UT
Practice address
11962 S Anthem Park Blvd Ste 250
Herriman, UT 84096-5732
Phone
(801) 981-5171
Fax
(801) 613-2909
NPI assigned
May 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14224009-2401 UT Primary

Addresses

Primary practice location

11962 S Anthem Park Blvd Ste 250
Herriman, UT 84096-5732

Mailing address

14493 S Sheeprock Dr
Herriman, UT 84096-3455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616003343 UT Practitioner - Physical Therapist in Private Practice 9830600956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Physical TherapyGroup PAC ID 6204230394, 12 clinicians

Practice addresses (Care Compare)

11962 S Anthem Park Blvd
Suite 250
Herriman, UT 84096-5732
Phone (801) 981-5171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14224009-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Physical Therapy Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients

Locations

11962 S Anthem Park Blvd
Ste 250
Herriman, UT 84096
Phone (385) 473-6438

1628 W 11010 S
Ste 101
South Jordan, UT 84095
Phone (801) 419-1196

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1033902259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14493 S SHEEPROCK DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840963455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11962 S ANTHEM PARK BLVD STE 250",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965732",
            "telephone_number": "801-981-5171",
            "fax_number": "801-613-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLOCK",
        "first_name": "TREVOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "14224009-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herriman, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.