Active NPI
Chase Pendley, DPT
- Physical Therapist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11551914-2401
- Practice address
- 6360 S 3000 E Ste 125
Salt Lake City, UT 84121-6933 - Phone
- (385) 900-5094
- Fax
- (385) 900-5097
- NPI assigned
- Jan 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11551914-2401 | UT | Primary |
Addresses
Primary practice location
6360 S 3000 E Ste 125
Salt Lake City, UT 84121-6933
Mailing address
9844 S 1300 E Ste 300
Sandy, UT 84094-4693
Other practice location 1
1868 W 9800 S # 200
South Jordan, UT 84095-4713
Phone (801) 676-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6360 S 3000
Suite 125
Cottonwood Heights, UT 84121-6933
Phone (385) 900-5094
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11551914-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Registered Physical Therapists LLC | Current | Accepting new patients |
Locations
6360 S 3000 E
Ste 125
Salt Lake Cty, UT 84121
Phone (385) 900-5094
9844 S 1300 E
Ste 300
Sandy, UT 84094
Phone (801) 572-0690
1868 W 9800 S
#200
South Jordan, UT 84095
Phone (801) 676-2210
1577 W 7000 S
Ste 100
West Jordan, UT 84084
Phone (801) 566-6301
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.
-
- Physical Therapy Clinic/Center
- Sandy, UT
- NPI 1477582633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1558901587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9844 S 1300 E STE 300",
"city": "SANDY",
"state": "UT",
"postal_code": "840944693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 S 3000 E STE 125",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216933",
"telephone_number": "385-900-5094",
"fax_number": "385-900-5097"
}
],
"practiceLocations": [
{
"address_1": "1868 W 9800 S # 200",
"address_purpose": "LOCATION",
"city": "South Jordan",
"state": "UT",
"postal_code": "840954713",
"country_code": "US",
"telephone_number": "801-676-2210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENDLEY",
"first_name": "CHASE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-07",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "11551914-2401",
"primary": true
}
],
"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 Apr 21, 2022; 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.