Individual provider Active NPI

Holly Kathleen Chiodo, PT

  • Physical Therapist
  • Sandy, UT
National Provider Identifier
1528251022
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
333504-2401 Issued in UT
Practice address
1369 E Marbella St
Sandy, UT 84093-2247
Phone
(801) 953-2165
NPI assigned
Aug 20, 2007
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 333504-2401 UT Primary

Addresses

Primary practice location

1369 E Marbella St
Sandy, UT 84093-2247

Mailing address

1369 E Marbella St
Sandy, UT 84093-2247
Phone (801) 953-2165

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120103000193 UT Practitioner - Physical Therapist in Private Practice 9537335195 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
333504-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 27, 2025 Accepting new patients
Independence Rehab Physical Therapist Past Accepting new patients
Howard J Rosen MD Inc. PastSince Sep 15, 2014 Accepting new patients

Locations

159 W Broadway
Ste 200
Salt Lake City, UT 84101
Phone (404) 408-5442

Organizations & group practices 3

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1528251022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 E MARBELLA ST",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840932247",
            "telephone_number": "801-953-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 E MARBELLA ST",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840932247",
            "telephone_number": "801-953-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIODO",
        "first_name": "HOLLY",
        "middle_name": "KATHLEEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "333504-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.