Individual provider Active NPI

Seth John Angelo Kelson, DPT

  • Physical Therapist
  • American Fork, UT
National Provider Identifier
1831224146
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
154314559 Issued in UT
Practice address
170 N 1100 E
American Fork, UT 84003-2096
Phone
(801) 855-3300
NPI assigned
Feb 23, 2007
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 154314559 UT Primary

Addresses

Primary practice location

170 N 1100 E
American Fork, UT 84003-2096

Mailing address

636 E State Rd
American Fork, UT 84003-2151
Phone (801) 492-6577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090120000160 UT Practitioner - Physical Therapist in Private Practice 6406919315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

636 E State Rd
American Fork, UT 84003-2151
Phone (801) 230-2018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
154314559UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Physical Therapy PC Physical Therapist CurrentSince Jun 8, 2015 Accepting new patients
James H. Kelson, a Professional Physical Therapy Corporation Physical Therapist CurrentSince Jan 1, 2009 Accepting new patients
Comfort Worx Hospice of Utah PastSince Apr 18, 2014 Accepting new patients

Locations

636 E State Rd
American Fork, UT 84003
Phone (801) 230-2018

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1831224146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 E STATE RD",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032151",
            "telephone_number": "801-492-6577",
            "fax_number": "801-492-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032096",
            "telephone_number": "801-855-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSON",
        "first_name": "SETH",
        "middle_name": "JOHN ANGELO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "154314559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.