Individual provider Active NPI

Sadie Jin, PT, DPT

  • Physical Therapist
  • Holladay, UT
National Provider Identifier
1649166208
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
142243312401 Issued in UT
Practice address
6069 S Highland Dr
Holladay, UT 84121-1375
Phone
(801) 944-1209
NPI assigned
Jun 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 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 142243312401 UT Primary

Addresses

Primary practice location

6069 S Highland Dr
Holladay, UT 84121-1375

Mailing address

6069 S Highland Dr
Holladay, UT 84121-1375
Phone (917) 575-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725001052 UT Practitioner - Physical Therapist in Private Practice 8527575554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians
Canyon Sports Therapy IncGroup PAC ID 2062606312, 5 clinicians
Precision Physical TherapyGroup PAC ID 6507210754, 2 clinicians
Registered Physical Therapists IncGroup PAC ID 9537151733, 64 clinicians

Practice addresses (Care Compare)

1950 E Fort Union Blvd
Suite 2
Salt Lake City, UT 84121-6894
Phone (801) 943-1041

6069 S Highland Dr
Holladay, UT 84121-1375
Phone (801) 944-1209

8706 S 700
Suite 101
Sandy, UT 84070-1809
Phone (385) 217-5699

9844 S 1300
Suite 200
Sandy, UT 84094-4689
Phone (801) 572-0099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
142243312401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy Physical Therapist CurrentSince Jun 27, 2025 Accepting new patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
Registered Physical Therapists LLC CurrentSince Oct 1, 2025 Accepting new patients
Canyon Sports Therapy Inc Physical Therapist PastSince May 20, 2010 Accepting new patients
Therapy West LLC Physical Therapist PastSince Jun 1, 2025 Accepting new patients

Locations

74 E 500 S
Ste 104
Bountiful, UT 84010
Phone (801) 292-5011

1950 E Fort Union Blvd
Ste 2
Salt Lake City, UT 84121
Phone (801) 943-1041

9844 S 1300 E
Ste 200
Sandy, UT 84094
Phone (801) 572-0690

8706 S 700 E
Ste 101
Sandy, UT 84070
Phone (385) 217-5699

9844 S 1300 E
Ste 300
Sandy, UT 84094
Phone (801) 572-0690

4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475

1577 W 7000 S
Ste 100
West Jordan, UT 84084
Phone (801) 566-6301

Organizations & group practices 5

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": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1649166208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6069 S HIGHLAND DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841211375",
            "telephone_number": "917-575-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6069 S HIGHLAND DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841211375",
            "telephone_number": "801-944-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "SADIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "142243312401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.