Kristen Schoonover, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12835815-2401 Issued in UT

Practice address

4179 S Riverboat Rd Ste 110
Taylorsville, UT 84123-2595

Phone

(801) 337-4475

NPI assigned

May 19, 2022

Last updated

May 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1548907538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 E GORDON LN",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841071502",
            "telephone_number": "713-277-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 110",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232595",
            "telephone_number": "801-337-4475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1153 E 3900 S",
            "address_purpose": "LOCATION",
            "city": "Millcreek",
            "state": "UT",
            "postal_code": "841241201",
            "country_code": "US",
            "telephone_number": "801-262-6331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4624 S Holladay Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841177169",
            "country_code": "US",
            "telephone_number": "801-277-1028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5872 S 900 E Ste 150",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841211679",
            "country_code": "US",
            "telephone_number": "801-747-3889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOONOVER",
        "first_name": "KRISTEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12835815-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.