Individual provider Active NPI

Steven Graham Wilkinson, PT, PHD

  • Physical Therapist
  • Cottonwood Heights, UT
National Provider Identifier
1871615286
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2006011489 Issued in MO
Practice address
1265 E Fort Union Blvd Ste 110
Cottonwood Heights, UT 84047-1807
Phone
(801) 849-0198
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 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 2006011489 MO Primary

Addresses

Primary practice location

1265 E Fort Union Blvd Ste 110
Cottonwood Heights, UT 84047-1807

Mailing address

3102 S Marie Cir
Salt Lake City, UT 84109-2471
Phone (385) 204-8182

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2006011489MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy LLC CurrentSince Aug 17, 2025 Accepting new patients
Advanced Physical Therapy and Sports Rehabilitation, PA Physical Therapist PastSince Apr 1, 2002 Accepting new patients

Locations

1265 E Fort Union Blvd
Ste 110
Midvale, UT 84047
Phone (801) 849-0198

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1871615286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 S MARIE CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092471",
            "telephone_number": "385-204-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 E FORT UNION BLVD STE 110",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471807",
            "telephone_number": "801-849-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "STEVEN",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "PT, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006011489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.