Individual provider Active NPI

Adam Hartshorn, DPT

  • Physical Therapist
  • Provo, UT
National Provider Identifier
1851288021
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12304476-2401 Issued in UT
Practice address
404 W 2230 N
Provo, UT 84604-1576
Phone
(801) 449-0253
Fax
(385) 314-3411
NPI assigned
Jun 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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 12304476-2401 UT Primary

Addresses

Primary practice location

404 W 2230 N
Provo, UT 84604-1576

Mailing address

404 W 2230 N
Provo, UT 84604-1576
Phone (801) 449-0253

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021003140 UT Practitioner - Physical Therapist in Private Practice 1850889932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Physical Therapy PLLCGroup PAC ID 5496152548, 8 clinicians
Ryseup Rehab Limited Liability CompanyGroup PAC ID 9133581440, 3 clinicians

Practice addresses (Care Compare)

38 E 450
Ephraim, UT 84627-4027
Phone (435) 610-2300

404 W 2230
Provo, UT 84604-1576
Phone (801) 449-0253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12304476-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy PLLC Physical Therapist CurrentSince Sep 22, 2025 Accepting new patients
Ryseup Rehab Limited Liability Company Physical Therapist CurrentSince Nov 4, 2025 Accepting new patients

Locations

888 Sage Dr
Ste 102
Cedar City, UT 84720
Phone (435) 233-7006

38 E 450 N
Ephraim, UT 84627
Phone (435) 610-2300

404 W 2230 N
Provo, UT 84604
Phone (801) 449-0253

Organizations & group practices 2

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": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1851288021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W 2230 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041576",
            "telephone_number": "801-449-0253",
            "fax_number": "385-314-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W 2230 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041576",
            "telephone_number": "801-449-0253",
            "fax_number": "385-314-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSHORN",
        "first_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12304476-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.