NPIMap

Organization Active NPI

Kays Creek Physical Therapy

  • Physical Therapist
  • Clearfield, UT
National Provider Identifier
1326064874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
51508480144 Issued in UT
Legal business name
KAYS CREEK PHYSICAL THERAPY
Practice address
1425 S 1500 E
Clearfield, UT 84015-1621
Phone
(801) 779-0798
Fax
(801) 779-2798
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nordell E Peterson, P.T.NPI 1538188479
Title
Manager
Phone
(801) 397-4340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 51508480144 UT Primary

Addresses

Primary practice location

1425 S 1500 E
Clearfield, UT 84015-1621

Mailing address

1450 S 1500 E
Clearfield, UT 84015-1633
Phone (801) 397-4340

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326064874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S 1500 E",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151633",
            "telephone_number": "801-397-4340",
            "fax_number": "801-397-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S 1500 E",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151621",
            "telephone_number": "801-779-0798",
            "fax_number": "801-779-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYS CREEK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "NORDELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-397-4340",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "51508480144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.