Active NPI
Eli Kenny, DPT
- Physical Therapist
- West Valley City, UT
National Provider Identifier
1891349213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11309456-2401
- Practice address
- 336 South 4155 West
West Valley City, UT 84120 - Phone
- (801) 964-3903
- NPI assigned
- Jul 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11309456-2401 | UT | Primary |
Addresses
Primary practice location
336 South 4155 West
West Valley City, UT 84120
Mailing address
663 S 7700 E
Huntsville, UT 84317-9719
Phone (801) 920-6886
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11309456-2401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1891349213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 S 7700 E",
"city": "HUNTSVILLE",
"state": "UT",
"postal_code": "843179719",
"telephone_number": "801-920-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 SOUTH 4155 WEST",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "84120",
"telephone_number": "801-964-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNY",
"first_name": "ELI",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-25",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "11309456-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.