Active NPI
Kirstin Coulombe, PT, DPT
- Orthopedic Physical Therapist
- Salt Lake City, UT
National Provider Identifier
1699458034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 13398305-2401
- Practice address
- 5151 S 900 E Ste 100
Salt Lake City, UT 84117-6658 - Phone
- (801) 261-3321
- NPI assigned
- Aug 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 13398305-2401 | UT | Primary |
Addresses
Primary practice location
5151 S 900 E Ste 100
Salt Lake City, UT 84117-6658
Mailing address
6664 S Pines Point Way
West Jordan, UT 84084-1899
Phone (801) 589-6673
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
- University of Utah School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5151 S 900
Suite 100
Salt Lake City, UT 84117-6658
Phone (801) 261-3321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13398305-2401 | UT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand & Orthopedic Rehabilitation Specialists PC | Current | Accepting new patients | |
| Hand & Orthopedic Rehabilitation Specialists PC | Current | Accepting new patients | |
| Hand & Orthopedic Rehabilitation Specialists PC | Current | Accepting new patients | |
| Hand & Orthopedic Rehabilitation Specialists PC | Orthopedic | Past | Accepting new patients |
Locations
5151 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 261-3321
Organizations & group practices 4
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 Therapist
- Salt Lake City, UT
- NPI 1790815173
-
- Physical Therapist
- Bountiful, UT
- NPI 1437487360
-
- Physical Therapist
- West Jordan, UT
- NPI 1811872245
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1811024144
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1699458034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6664 S PINES POINT WAY",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840841899",
"telephone_number": "801-589-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 S 900 E STE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841176658",
"telephone_number": "801-261-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULOMBE",
"first_name": "KIRSTIN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-11",
"last_updated": "2023-08-11",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "UT",
"license": "13398305-2401",
"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 Aug 11, 2023; 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.