Jessica Marie Koontz, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12841436-2401 Issued in UT

Practice address

5770 S 250 E Ste G50
Murray, UT 84107-6165

Phone

(801) 314-5000

NPI assigned

Sep 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Origin Physical Therapy FL PLLC

  • Physical Therapist
  • Austin, TX
  • NPI 1477220861

  UT

  Medicare reassignment Care Compare group NPD
• Ihc Health Services Inc

  dba Intermountain Physical Therapy and Rehabilitation

  • Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1033822085

  Physical Therapist

  Medicare reassignment NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1427772664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 E 1700 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082716",
            "telephone_number": "240-577-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 S 250 E STE G50",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076165",
            "telephone_number": "801-314-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Round Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840607552",
            "country_code": "US",
            "telephone_number": "240-577-8031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12841436-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly.woodward@direct.imail.org",
            "affiliation": "N",
            "address_1": "900 Round Valley Dr",
            "city": "Park City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840607552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Michael Kohler, MD
• Peter Lloyd Kolbay, O.D.
• Makenzie Kolbo
• Kimberlee Koller
• Selma Subin Koo
• Ines Katharina Korbanka, LPC
• David J Kotter, APRN
• Kow Holdings LLC
• KPC Promise Hospital of Salt Lake LLC
• KPC Promise Hospital of Salt Lake LLC (KPC Promise Hospital of Salt Lake)

• Physical Therapist in Murray, UT
• Providers in Murray, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.