Mary Kathryn Pengelly, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13293556-4201 Issued in UT

Practice address

5151 S 900 E Ste 100
Salt Lake City, UT 84117-6658

Phone

(801) 747-3702

Fax

(801) 262-0453

NPI assigned

Apr 13, 2023

Last updated

Jan 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of Oklahoma College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hand and Orthopedic Rehabilitation Specialists PCGroup PAC ID 0547252207, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hand & Orthopedic Rehabilitation Specialists

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1790815173

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Hand & Orthopedic Rehabilitation Specialists

  dba Hand and Orthopedic Physical Therapy Specialists

  • Physical Therapist
  • West Jordan, UT
  • NPI 1811872245
  NPD
• Hand & Orthopedic Rehabilitation Specialists

  • Physical Therapist
  • Taylorsville, UT
  • NPI 1891495321
  NPD
• Hand & Orthopedic Rehabilitation Specialists

  dba Hand & Orthopedic Physical Therapy Specialists

  • Physical Therapist
  • Murray, UT
  • NPI 1811024144

  Orthopedic

  NPD (past)
• Hand & Orthopedic Rehabilitation Specialists

  • Specialist
  • Draper, UT
  • NPI 1891093167
  NPD (past)

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1861188856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 S 900 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841176658",
            "telephone_number": "801-747-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 S 900 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841176658",
            "telephone_number": "801-747-3702",
            "fax_number": "801-262-0453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11762 S State St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840207158",
            "country_code": "US",
            "telephone_number": "801-501-8359",
            "fax_number": "801-501-8360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENGELLY",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "13293556-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikka Michele Pendergrass, AGACNP
• Lynde Pendleton
• Chase Pendley, DPT
• Anne Marie Pendo, MD
• Wei Peng, M.D.
• Gopi Krishna Raju Penmetsa, MD
• Jennifer Elizabeth Penn, DPT
• Debra Susan Penney, CNM
• Penny Brooke Jameson, PH. D., P.C.
• Kylee Penrod

• Occupational Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.