Individual provider Active NPI

Taylor Marie Kobliska, DPT

  • Physical Therapist
  • Lehi, UT
National Provider Identifier
1720868201
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13398007-2401 Issued in UT
Practice address
310 N 850 E Ste D
Lehi, UT 84043-8622
Phone
(801) 216-3117
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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 13398007-2401 UT Primary

Addresses

Primary practice location

310 N 850 E Ste D
Lehi, UT 84043-8622

Mailing address

10806 S Weiss Dr
South Jordan, UT 84009-7748

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117001805 UT Practitioner - Physical Therapist in Private Practice 6608305719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reborn Pelvic Health and WellnessGroup PAC ID 0941738272, 17 clinicians

Practice addresses (Care Compare)

310 N 850
Suite D
Lehi, UT 84043-8623
Phone (801) 702-8476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13398007-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reborn Pelvic Health & Wellness Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients

Locations

1660 W Antelope Dr
Ste 225A
Layton, UT 84041
Phone (801) 702-8475

310 N 850 E
Ste D
Lehi, UT 84043
Phone (801) 216-3117

1815 N 1120 W
Provo, UT 84604
Phone (801) 702-8475

6040 S Fashion Blvd
Ste 101
Salt Lake City, UT 84107
Phone (801) 264-9595

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1720868201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 S WEISS DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840097748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 850 E STE D",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840438622",
            "telephone_number": "801-216-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBLISKA",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13398007-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.