Individual provider Active NPI

Jessica McKenzie, DPT

  • Physical Therapist
  • South Jordan, UT
National Provider Identifier
1528635836
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13445090-2401 Issued in UT
Practice address
1091 W South Jordan Pkwy Ste 500
South Jordan, UT 84095-8841
Phone
(385) 887-7250
NPI assigned
Jun 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13445090-2401 UT Primary
Physical Therapist 225100000X PT019163 OH

Addresses

Primary practice location

1091 W South Jordan Pkwy Ste 500
South Jordan, UT 84095-8841

Mailing address

1091 W South Jordan Pkwy Ste 500
South Jordan, UT 84095-8841
Phone (385) 887-7250

Other practice location 1

1077 State Route 28 Ste 105
Milford, OH 45150-5099
Phone (513) 653-2888

Other practice location 2

1685 W 2200 S
Salt Lake City, UT 84119-1456
Phone (801) 975-1027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210701003163 OH Practitioner - Physical Therapist in Private Practice 9537560230 Reassigns benefits to 2 organizations
I20231226000755 UT Practitioner - Physical Therapist in Private Practice 9537560230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Cincinnati College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1091 W S Jordan Pkwy
Suite 500
South Jordan, UT 84095-8841
Phone (385) 887-7250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019163OHMDPhysical Therapist
13445090-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Nov 11, 2023 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients
Ihc Health Services Inc Physical Therapist CurrentSince Nov 11, 2023 Accepting new patients
Drayer Physical Therapy Northern Ohio LLC Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

5050 E Galbraith Rd
Ste A
Cincinnati, OH 45236
Phone (513) 376-9571

463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340

1077 State Route 28
Ste 105
Milford, OH 45150
Phone (513) 653-2888

325 N Main St
Ste 100
Springboro, OH 45066
Phone (937) 806-0318

720 Elm St
Ste C
Wilmington, OH 45177
Phone (937) 283-2186

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

1091 W South Jordan Pkwy
Ste 500
South Jordan, UT 84095
Phone (385) 887-7200

1685 W 2200 S
West Valley City, UT 84119
Phone (801) 887-5455

Organizations & group practices 6

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": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1528635836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 W SOUTH JORDAN PKWY STE 500",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958841",
            "telephone_number": "385-887-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 W SOUTH JORDAN PKWY STE 500",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958841",
            "telephone_number": "385-887-7250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1077 State Route 28 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451505099",
            "country_code": "US",
            "telephone_number": "513-653-2888",
            "fax_number": "513-991-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1685 W 2200 S",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841191456",
            "country_code": "US",
            "telephone_number": "801-975-1027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-06",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13445090-2401",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019163",
            "primary": false
        }
    ],
    "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 Mar 11, 2026; 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.