Active NPI
Robert William Byrne, PT, DPT, ATC/LAT
- Physical Therapist
- Salt Lake City, UT
National Provider Identifier
1548067713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14293238-2401
- Practice address
- 1420 S 500 W
Salt Lake City, UT 84115-5149 - Phone
- (801) 325-2716
- NPI assigned
- Feb 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 054064 | NY | |
| Physical Therapist | 225100000X | 300791 | CA | |
| Physical Therapist | 225100000X | 14293238-2401 | UT | Primary |
| Athletic Trainer | 2255A2300X | 004947 | NY | |
| Athletic Trainer | 2255A2300X | 14293238-4810 | UT |
Addresses
Primary practice location
1420 S 500 W
Salt Lake City, UT 84115-5149
Mailing address
1420 S 500 W
Salt Lake City, UT 84115-5149
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 |
|---|---|---|---|
| 300791 | CA | MD | Physical Therapist |
| 054064 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1548067713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 S 500 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841155149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 S 500 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841155149",
"telephone_number": "801-325-2716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"credential": "PT, DPT, ATC/LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-26",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "054064",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "300791",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "14293238-2401",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "004947",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "14293238-4810",
"primary": false
}
],
"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 Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.