Active NPI
Kailey Skotak, DPT
- Physical Therapist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14224776-2401
- Practice address
- 22 S 900 E
Salt Lake City, UT 84102-1307 - Phone
- (801) 758-0428
- NPI assigned
- Mar 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14224776-2401 | UT | Primary |
Addresses
Primary practice location
22 S 900 E
Salt Lake City, UT 84102-1307
Mailing address
22 S 900 E
Salt Lake City, UT 84102-1307
Phone (801) 758-0428
Other practice location 1
756 E 12200 S
Draper, UT 84020-9724
Phone (801) 758-0428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 S 900
Salt Lake City, UT 84102-1307
Phone (801) 328-2522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14224776-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Ear,Nose, and Throat Specialists LLC | Current | Accepting new patients |
Locations
756 E 12200 S
Draper, UT 84020
Phone (801) 833-0579
4063 W 12600 S
Riverton, UT 84096
Phone (801) 495-4800
22 S 9th E
Slc, UT 84102
Phone (801) 328-7522
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.
-
- Medical Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1487764411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1174158679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021307",
"telephone_number": "801-758-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021307",
"telephone_number": "801-758-0428"
}
],
"practiceLocations": [
{
"address_1": "756 E 12200 S",
"address_purpose": "LOCATION",
"city": "Draper",
"state": "UT",
"postal_code": "840209724",
"country_code": "US",
"telephone_number": "801-758-0428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKOTAK",
"first_name": "KAILEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "14224776-2401",
"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 Oct 14, 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.