Active NPI
Kayla Gallegos
- Physical Therapist
- Taylorsville, UT
National Provider Identifier
1649977513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13244144-2401
- Practice address
- 3845 W 4700 S
Taylorsville, UT 84129-3454 - Phone
- (801) 840-4360
- NPI assigned
- Feb 10, 2023
- 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 | 13244144-2401 | UT | Primary |
Addresses
Primary practice location
3845 W 4700 S
Taylorsville, UT 84129-3454
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice location 1
5484 Adams Ave Pkwy
Washington Terrace, UT 84405-4729
Phone (801) 608-8056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13244144-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OT Innovations, LLC | Past | Accepting new patients |
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.
-
dba Ability Innovations
- Pediatric Occupational Therapist
- Layton, UT
- NPI 1578082954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1649977513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 W 4700 S",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841293454",
"telephone_number": "801-840-4360"
}
],
"practiceLocations": [
{
"address_1": "5484 Adams Ave Pkwy",
"address_purpose": "LOCATION",
"city": "Washington Terrace",
"state": "UT",
"postal_code": "844054729",
"country_code": "US",
"telephone_number": "801-608-8056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLEGOS",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-10",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "13244144-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.