Individual provider Active NPI

Kristin Schade, PT, DPT

  • Orthopedic Physical Therapist
  • Clinton, UT
National Provider Identifier
1720534829
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
9626976-2401 Issued in UT
Practice address
1477 N 2000 W Ste a
Clinton, UT 84015-9099
Phone
(801) 773-4191
Fax
(801) 773-4197
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 9626976-2401 UT Primary
Physical Therapist 225100000X 12521 AZ

Addresses

Primary practice location

1477 N 2000 W Ste a
Clinton, UT 84015-9099

Mailing address

2127 W Natalie Ave
Syracuse, UT 84075-1101
Phone (801) 380-0330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260406002543 UT Practitioner - Physical Therapist in Private Practice 4688953029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLC 207 clinicians

Practice addresses (Care Compare)

1477 N 2000
Suite a
Clinton, UT 84015-9099
Phone (801) 773-4191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2994WVMDPharmacist
9626976-2401UTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monongalia County General Hospital Company CurrentSince Apr 14, 2025 Accepting new patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Oct 5, 2025 Accepting new patients

Locations

1477 N 2000 W
Ste A
Clinton, UT 84015
Phone (801) 773-4191

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

Organizations & group practices 2

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1720534829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 W NATALIE AVE",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840751101",
            "telephone_number": "801-380-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 N 2000 W STE A",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840159099",
            "telephone_number": "801-773-4191",
            "fax_number": "801-773-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHADE",
        "first_name": "KRISTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "9626976-2401",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.