Individual provider Active NPI

Patrick David Keahey

  • Physical Therapist
  • South Jordan, UT
National Provider Identifier
1518878255
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14306628-2401 Issued in UT
Practice address
10509 S River Heights Dr Ste 204
South Jordan, UT 84095-6122
Phone
(801) 702-8475
NPI assigned
Sep 14, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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 14306628-2401 UT Primary

Addresses

Primary practice location

10509 S River Heights Dr Ste 204
South Jordan, UT 84095-6122

Mailing address

10509 S River Heights Dr Ste 204
South Jordan, UT 84095-6122
Phone (801) 702-8475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1518878255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10509 S RIVER HEIGHTS DR STE 204",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840956122",
            "telephone_number": "801-702-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10509 S RIVER HEIGHTS DR STE 204",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840956122",
            "telephone_number": "801-702-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAHEY",
        "first_name": "PATRICK",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "14306628-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.