Active NPI
Jennifer Kautz
- Physical Therapist
- South Salt Lake, UT
National Provider Identifier
1528459963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2500 S State St
South Salt Lake, UT 84115-3164 - Phone
- (385) 646-5000
- NPI assigned
- Feb 6, 2015
- Last updated
- May 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9382 | CT | |
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
2500 S State St
South Salt Lake, UT 84115-3164
Mailing address
4988 Silver Springs Rd
Park City, UT 84098-6036
Other practice location 1
85 Old Kings Hwy N
Darien, CT 06820-4732
Phone (203) 202-7654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9382 | CT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sasco River Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Darien, CT
- NPI 1972133429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1528459963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4988 SILVER SPRINGS RD",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840986036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S STATE ST",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841153164",
"telephone_number": "385-646-5000"
}
],
"practiceLocations": [
{
"address_1": "85 Old Kings Hwy N",
"address_purpose": "LOCATION",
"city": "Darien",
"state": "CT",
"postal_code": "068204732",
"country_code": "US",
"telephone_number": "203-202-7654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUTZ",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "9382",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.