Kaitlyn Owen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12139998-2401 Issued in UT

Practice address

1710 E 5600 S
South Ogden, UT 84403-4384

Phone

(801) 689-2546

NPI assigned

Apr 26, 2018

Last updated

Mar 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reborn Pelvic Health and WellnessGroup PAC ID 0941738272, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Reborn Pelvic Health & Wellness

  • Physical Therapy Clinic/Center
  • Murray, UT
  • NPI 1740884907

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Elevated Performance and Rehabilitation

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Ogden, UT
  • NPI 1285313452
  NPD

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1093203879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E 5600 S",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034384",
            "telephone_number": "801-689-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E 5600 S",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034384",
            "telephone_number": "801-689-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "KAITLYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "130546",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12139998-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Olsen
• Taylor Olsen
• Sydney Olson, RPH
• Rebecca Orosz, ACMHC
• Overthought Therapy Services PLLC
• Kristen Marie Packard
• Melody Mercedes Padilla, PHARMD
• Kimberly Paget, LMT
• Matthew Ted Palfreyman, LCSW
• Alina Parker

• Physical Therapist in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.