Personal PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6039604-2401 Issued in UT

Legal business name

PERSONAL PT

Practice address

2174 Sunrise Cir
Park City, UT 84060-7409

Phone

(802) 598-6884

NPI assigned

Jul 30, 2010

Last updated

Jul 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanna Clarice Kahn, P.T.NPI 1528272515

Title

Owner / Physical Therapist

Phone

(802) 598-6884

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joanna Clarice Kahn, PT

  • Physical Therapist
  • Park City, UT
  • NPI 1528272515
  NPD Authorized official
• Ashley M Sacks, DPT

  • Physical Therapist
  • Kahului, HI
  • NPI 1013177245
  NPD (past)

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1770897803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2174 SUNRISE CIR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 SUNRISE CIR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607409",
            "telephone_number": "802-598-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "CLARICE",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "802-598-6884",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33604",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6039604-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vannette Perkins, MD
• Kristen Michelle Perlmutter, S.S.W.
• Adam Robert Perreault, MED, ATC
• James Robert Perrone, PTA
• Jesse Perry, M.D.
• Donn W Peters, PSY.D.
• Mark William Peterson, DO
• Natasha Nicolle Peterson
• Pharmacy at Park City Clinic
• Jennifer Philips

• Physical Therapist in Park City, UT
• Providers in Park City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.