Individual provider Active NPI

Jennifer Cammack, DPT

  • Physical Therapist
  • West Jordan, UT
National Provider Identifier
1851832620
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
102529882401 Issued in UT
Practice address
7392 S 1975 W
West Jordan, UT 84084-3249
Phone
(385) 275-5689
NPI assigned
Mar 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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 102529882401 UT Primary

Addresses

Primary practice location

7392 S 1975 W
West Jordan, UT 84084-3249

Mailing address

7392 S 1975 W
West Jordan, UT 84084-3249
Phone (385) 275-5689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102529882401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Return to Movement Physical Therapy PLLC Physical Therapist CurrentSince Dec 28, 2022 Accepting new patients

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": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1851832620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7392 S 1975 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843249",
            "telephone_number": "385-275-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7392 S 1975 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843249",
            "telephone_number": "385-275-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMACK",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "102529882401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.