Individual provider Active NPI

Kirk L Wright, P.T., A.T.C.

  • Physical Therapist
  • Orem, UT
National Provider Identifier
1811989171
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4739582-2401 Issued in UT
Practice address
252 N State St
Orem, UT 84057-4746
Phone
(801) 226-0599
Fax
(801) 226-3145
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4739582-2401 UT Primary

Addresses

Primary practice location

252 N State St
Orem, UT 84057-4746

Mailing address

PO Box 307
Bountiful, UT 84011-0307
Phone (801) 294-6907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080222000060 UT Practitioner - Physical Therapist in Private Practice 4284718792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family MedicalGroup PAC ID 7416197785, 84 clinicians

Practice addresses (Care Compare)

1112 E 300
American Fork, UT 84003-4522

830 N 2000
Pleasant Grove, UT 84062-4047
Phone (801) 756-3511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4739582-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medical Physical Therapist Current Accepting new patients
Premier Family Medical - Saratoga Springs CurrentSince Jul 1, 2013 Accepting new patients
Premier Family Medical - City Center CurrentSince Jul 1, 2013 Accepting new patients
Orem Sports Medicine Center, LLC Physical Therapist PastSince Mar 7, 2016 Accepting new patients
Spine Orthopedic & Sports Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

1112 E 300 N
Ste 302
American Fork, UT 84003
Phone (801) 642-2890

1159 E 200 N
Ste 100
American Fork, UT 84003
Phone (801) 642-2888

226 N 1100 E
American Fork, UT 84003
Phone (801) 855-3840

680 E Main St
Lehi, UT 84043
Phone (801) 766-0606

275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333

275 W 200 N
Ste 150
Lindon, UT 84042
Phone (801) 769-2642

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

Organizations & group practices 5

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811989171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110307",
            "telephone_number": "801-294-6907",
            "fax_number": "801-294-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 N STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574746",
            "telephone_number": "801-226-0599",
            "fax_number": "801-226-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KIRK",
        "middle_name": "L",
        "credential": "P.T., A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "4739582-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.