Individual provider Active NPI

Karin Ingrid Maria Westlen-Boyer, PT

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1811028277
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
118628-2401 Issued in UT
Practice address
4578 S Highland Dr Ste 320
Salt Lake City, UT 84117-4214
Phone
(801) 557-2789
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 118628-2401 UT Primary

Addresses

Primary practice location

4578 S Highland Dr Ste 320
Salt Lake City, UT 84117-4214

Mailing address

370 N H St
Salt Lake City, UT 84103-3104
Phone (801) 557-2789

Other identifiers 1

IdentifierTypeStateIssuer
D6422MedicaidUT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111012000091 UT Practitioner - Physical Therapist in Private Practice 9032381298 Reassigns benefits to 1 organization
Practice locations: Millcreek, UT

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Luna Care Physical Therapy LLCGroup PAC ID 4880089275, 7 clinicians

Practice addresses (Care Compare)

Salt Lake City, UT 84101
Phone (866) 525-3175

4578 S Highland Dr
Suite 320
Millcreek, UT 84117-4214
Phone (801) 557-2789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118628-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 29, 2024 Accepting new patients

Locations

159 W Broadway
Ste 200
Salt Lake City, UT 84101
Phone (404) 408-5442

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1811028277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N H ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033104",
            "telephone_number": "801-557-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 S HIGHLAND DR STE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174214",
            "telephone_number": "801-557-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTLEN-BOYER",
        "first_name": "KARIN",
        "middle_name": "INGRID MARIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "118628-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D6422",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.