Individual provider Active NPI

William Ethan Chynoweth, DPT, PT

  • Physical Therapist
  • Murray, UT
National Provider Identifier
1740064930
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14236413-2401 Issued in UT
Practice address
6272 S Highland Dr # 203
Murray, UT 84121-2126
Phone
(180) 187-1635
NPI assigned
Aug 21, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6146 NM
Physical Therapist 225100000X 14236413-2401 UT Primary

Addresses

Primary practice location

6272 S Highland Dr # 203
Murray, UT 84121-2126

Mailing address

PO Box 25537
Salt Lake City, UT 84125-0537

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251031002218 UT Practitioner - Physical Therapist in Private Practice 2567951239 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1153 E 3900
Salt Lake City, UT 84124-1201
Phone (801) 262-6331

2295 S Foothill Dr
Suite 1
Salt Lake City, UT 84109-4006
Phone (801) 486-7542

4179 S Riverboat Rd
Suite 110
Taylorsville, UT 84123-2595
Phone (801) 337-4475

6272 S Highland Dr
Suite 203
Murray, UT 84121-2126
Phone (801) 495-7950

74 E 500
Suite 104
Bountiful, UT 84010-6200
Phone (801) 292-5011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6146NMMDPhysical Therapist
14236413-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Registered Physical Therapists LLC CurrentSince Jan 28, 2026 Accepting new patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Jan 28, 2026 Accepting new patients
Ihc Health Services, Inc. CurrentSince Oct 6, 2025 Accepting new patients
Ihc Health Services Inc Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

6272 S Highland Dr
#203
Murray, UT 84121
Phone (801) 871-6350

6272 S Highland Dr
Ste 203
Murray, UT 84121
Phone (801) 495-7950

900 Round Valley Dr
Park City, UT 84060
Phone (435) 658-7000

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1740064930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25537",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6272 S HIGHLAND DR # 203",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841212126",
            "telephone_number": "180-187-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHYNOWETH",
        "first_name": "WILLIAM",
        "middle_name": "ETHAN",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT6146",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "14236413-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.