Individual provider Active NPI

Nikelle Hunsaker, DPT

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1477922912
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9437271-2401 Issued in UT
Practice address
5151 S 900 E
Suite 100
Salt Lake City, UT 84117-6657
Phone
(801) 261-3321
Fax
(801) 261-5942
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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 9437271-2401 UT Primary

Addresses

Primary practice location

5151 S 900 E
Suite 100
Salt Lake City, UT 84117-6657

Mailing address

11762 S State St
Suite 120
Draper, UT 84020-7155
Phone (801) 501-8359

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151019001920 UT Practitioner - Physical Therapist in Private Practice 9638488471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Utah School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5151 S 900
Suite 100
Salt Lake City, UT 84117-6658
Phone (801) 261-3321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hand & Orthopedic Rehabilitation Specialists PC Physical Therapist CurrentSince Jul 17, 2015 Accepting new patients
Hand & Orthopedic Rehabilitation Specialists PC Physical Therapist CurrentSince Jul 17, 2015 Accepting new patients
Hand & Orthopedic Rehabilitation Specialists PC Physical Therapist Current Accepting new patients
Hand & Orthopedic Rehabilitation Specialists PC Physical Therapist Past Accepting new patients

Locations

596 W 750 S
Ste 210
Bountiful, UT 84010
Phone (801) 298-2533

11762 S State St
Ste 120
Draper, UT 84020
Phone (801) 501-8359

5151 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 261-3321

702 E South Temple
Ste 102
Salt Lake City, UT 84102
Phone (801) 328-8535

Organizations & group practices 4

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1477922912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST",
            "address_2": "SUITE 120",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207155",
            "telephone_number": "801-501-8359",
            "fax_number": "801-501-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 S 900 E",
            "address_2": "SUITE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841176657",
            "telephone_number": "801-261-3321",
            "fax_number": "801-261-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNSAKER",
        "first_name": "NIKELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "9437271-2401",
            "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 Sep 15, 2015; 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.