Individual provider Active NPI

Chase Pendley, DPT

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1558901587
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11551914-2401 Issued in UT
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

Updated by the provider on Apr 21, 2022

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 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

Enrollment IDStateProvider typePAC IDDetails
I20200818002810 UT Practitioner - Physical Therapist in Private Practice 5799101945 Reassigns benefits to 1 organization

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
Registered Physical Therapists IncGroup PAC ID 9537151733, 64 clinicians

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

LicenseStateTypeSpecialty
11551914-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Registered Physical Therapists LLC CurrentSince May 15, 2020 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.

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.

Verify at the official NPI Registry.