Individual provider Active NPI

Ryan Leo Kiedrowski, D.P.T.

  • Physical Therapist
  • Vernal, UT
National Provider Identifier
1548266166
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
353301-2401 Issued in UT
Practice address
1180 N Vernal Ave
Ste 3
Vernal, UT 84078-4819
Phone
(435) 789-0022
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 353301-2401 UT Primary

Addresses

Primary practice location

1180 N Vernal Ave
Ste 3
Vernal, UT 84078-4819

Mailing address

PO Box 1875
Vernal, UT 84078-5875
Phone (435) 789-0022

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
353301-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1588008304 Past Accepting new patients
Ashley Creek Physical Therapy, Inc Physical Therapist PastSince Jul 18, 1995 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548266166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1875",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840785875",
            "telephone_number": "435-789-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N VERNAL AVE",
            "address_2": "STE 3",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840784819",
            "telephone_number": "435-789-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEDROWSKI",
        "first_name": "RYAN",
        "middle_name": "LEO",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "353301-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.