Active NPI
Kristin Schade, PT, DPT
- Orthopedic Physical Therapist
- Clinton, UT
National Provider Identifier
1720534829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 9626976-2401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2994 | WV | MD | Pharmacist |
| 9626976-2401 | UT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monongalia County General Hospital Company | Current | Accepting new patients | |
| Mountain Land Rehabilitation LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1265549372
-
- Specialist
- Morgantown, WV
- NPI 1447673223
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.