Individual provider Active NPI

Bennet Shixin Hu, PT, DPT

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1114751518
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14117997-2401 Issued in UT
Practice address
370 E South Temple Ste 150
Salt Lake City, UT 84111-1279
Phone
(801) 521-9222
NPI assigned
Aug 28, 2024
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 14117997-2401 UT Primary

Addresses

Primary practice location

370 E South Temple Ste 150
Salt Lake City, UT 84111-1279

Mailing address

12558 S Pony Express Rd Apt 237
Draper, UT 84020-1921
Phone (949) 419-4766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250506001701 UT Practitioner - Physical Therapist in Private Practice 2860919610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Registered Physical Therapists IncGroup PAC ID 9537151733, 64 clinicians

Practice addresses (Care Compare)

6360 S 3000
Suite 125
Cottonwood Heights, UT 84121-6933
Phone (385) 900-5094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14117997-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Nov 7, 2025 Accepting new patients
Registered Physical Therapists LLC Physical Therapist CurrentSince Apr 17, 2025 Accepting new patients

Locations

370 E South Temple
Ste 1
Salt Lake City, UT 84111
Phone (801) 521-9222

370 E South Temple
Ste 150
Salt Lake Cty, UT 84111
Phone (801) 364-8692

6360 S 3000 E
Ste 125
Salt Lake Cty, UT 84121
Phone (385) 900-5094

9844 S 1300 E
Ste 300
Sandy, UT 84094
Phone (801) 572-0690

4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475

1577 W 7000 S
Ste 100
West Jordan, UT 84084
Phone (801) 566-6301

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1114751518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12558 S PONY EXPRESS RD APT 237",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840201921",
            "telephone_number": "949-419-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E SOUTH TEMPLE STE 150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111279",
            "telephone_number": "801-521-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HU",
        "first_name": "BENNET",
        "middle_name": "SHIXIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "14117997-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.