Individual provider Active NPI

Kevan L Whipple, DPT

  • Orthopedic Physical Therapist
  • Payson, UT
National Provider Identifier
1275563579
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5162373-2401 Issued in UT
Practice address
15 S 1000 E Ste 225
Payson, UT 84651-5593
Phone
(801) 609-9310
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5162373-2401 UT Primary

Addresses

Primary practice location

15 S 1000 E Ste 225
Payson, UT 84651-5593

Mailing address

397 N Willow Haven Ave
Lehi, UT 84043-3091
Phone (801) 215-9447

Other practice location 1

4700 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050117000167 UT Practitioner - Physical Therapist in Private Practice 1658320726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Emg PLLC Physical Therapist CurrentSince May 3, 2021 Accepting new patients
Northpointe Rehab Current Accepting new patients
Fka PHC, LLP CurrentSince Oct 10, 2018 Accepting new patients
Northpointe Rehab CurrentSince Feb 21, 2012 Accepting new patients
Ogden Clinic PC Physical Therapist Past Accepting new patients
Grantsville Physical Therapy PLLC Physical Therapist PastSince May 29, 2026 Accepting new patients

Locations

950 Pulaski Dr
#100
Kng of Prussa, PA 19406
Phone (610) 768-4466

834 Chestnut St
Ste G114
Philadelphia, PA 19107
Phone (215) 521-3000

9844 S 1300 E
Ste 275
Sandy, UT 84094
Phone (801) 571-7061

4700 Harrison Blvd
South Ogden, UT 84403
Phone (801) 475-3300

Organizations & group practices 6

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1275563579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 N WILLOW HAVEN AVE",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433091",
            "telephone_number": "801-215-9447",
            "fax_number": "801-618-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S 1000 E STE 225",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846515593",
            "telephone_number": "801-609-9310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Harrison Blvd",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844034303",
            "country_code": "US",
            "telephone_number": "801-475-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "KEVAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "5162373-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.