Active NPI
Madeline Kate Ekins, PT, DPT, CSCS
- Physical Therapist
- Park City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 139679782401
- Practice address
- 4554 Forestdale Dr Unit C16
Park City, UT 84098-1392 - Phone
- (435) 494-1336
- NPI assigned
- May 7, 2024
- Sex
- Female
- 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 | 139679782401 | UT | Primary |
Addresses
Primary practice location
4554 Forestdale Dr Unit C16
Park City, UT 84098-1392
Mailing address
1156 E 3300 S Apt 211
Millcreek, UT 84106-4357
Phone (801) 884-9966
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4554 Forestdale Dr
Unit C16
Park City, UT 84098-1392
Phone (603) 568-9461
4554 Forestdale Dr Unit
C16
Park City, UT 84098-1392
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139679782401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motion Ut, LLC | Current | Accepting new patients |
Locations
1716 N Highway 40
Ste 101
Heber City, UT 84032
Phone (435) 294-2664
4554 Forestdale Dr
Unit C16
Park City, UT 84098
Phone (435) 494-1336
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
- Park City, UT
- NPI 1518574177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1568210482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1156 E 3300 S APT 211",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841064357",
"telephone_number": "801-884-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4554 FORESTDALE DR UNIT C16",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840981392",
"telephone_number": "435-494-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKINS",
"first_name": "MADELINE",
"middle_name": "KATE",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "139679782401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.