Individual provider Active NPI

Jessica S Lord, DPT

  • Physical Therapist
  • Tooele, UT
National Provider Identifier
1710458625
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10712608-2401 Issued in UT
Practice address
2321 N 400 E Ste 400
Tooele, UT 84074-3425
Phone
(435) 833-9070
Fax
(435) 243-7375
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 10712608-2401 UT Primary

Addresses

Primary practice location

2321 N 400 E Ste 400
Tooele, UT 84074-3425

Mailing address

2321 N 400 E Ste 400
Tooele, UT 84074-3425
Phone (435) 833-9070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlord744826@direct.med.utah.edu Direct University of Utah

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190422002255 UT Practitioner - Physical Therapist in Private Practice 3779825856 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10712608-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Apr 9, 2025 Accepting new patients
Pagnani Physical Therapy Physical Therapist CurrentSince Feb 14, 2019 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Apr 9, 2025 Accepting new patients
Tooele Clinic Corp PastSince Oct 30, 2014 Accepting new patients
Bronson Lakeview Hospital Past Accepting new patients

Locations

520 S Wakara Way
Slc, UT 84108
Phone (801) 585-7448

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

210 Lodestone Way
Tooele, UT 84074
Phone (435) 592-0906

576 E Highway 138
Ste 400
Tooele, UT 84074
Phone (435) 833-9070

2321 N 400 E
Ste 400
Tooele, UT 84074
Phone (435) 553-4969

Interoperability endpoints

  • Direct secure messaging: jlord744826@direct.med.utah.edu

Organizations & group practices 6

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1710458625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 N 400 E STE 400",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743425",
            "telephone_number": "435-833-9070",
            "fax_number": "435-243-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 N 400 E STE 400",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743425",
            "telephone_number": "435-833-9070",
            "fax_number": "435-243-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "JESSICA",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "10712608-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlord744826@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.