Individual provider Active NPI

Kyle A Knop, PT, DPT

  • Physical Therapist
  • West Haven, UT
National Provider Identifier
1134945488
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14191917-2401 Issued in UT
Practice address
3476 W 4600 S
West Haven, UT 84401-9203
Phone
(801) 689-0200
Fax
(801) 689-0201
NPI assigned
Dec 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 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 14191917-2401 UT Primary

Addresses

Primary practice location

3476 W 4600 S
West Haven, UT 84401-9203

Mailing address

PO Box 66
Hooper, UT 84315-0066
Phone (801) 689-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321001131 UT Practitioner - Physical Therapist in Private Practice 2264954064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14191917-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Physical Therapy, Inc. Physical Therapist CurrentSince Dec 26, 2024 Accepting new patients

Locations

3476 W 4600 S
West Haven, UT 84401
Phone (801) 689-0200

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": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1134945488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "HOOPER",
            "state": "UT",
            "postal_code": "843150066",
            "telephone_number": "801-689-0200",
            "fax_number": "801-689-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3476 W 4600 S",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844019203",
            "telephone_number": "801-689-0200",
            "fax_number": "801-689-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOP",
        "first_name": "KYLE",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "14191917-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.