Kaden Craig, PT, DPT, CSCS
Individual provider Active NPI Physical Therapist · Clinton, UT
NPI 1952016867 · NPPES record last updated Jan 16, 2023
Key facts
- NPI
- 1952016867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 2561 W 1550 N
Clinton, UT 84015-7917 - Phone
- (385) 333-8504
- NPI assigned
- Jan 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain Land Rehabilitation LLC
Practice addresses (Care Compare)
1950 E Fort Union Blvd
Suite 2
Salt Lake City, UT 84121-6894
Phone (801) 943-1041
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230213000968 | UT | Practitioner - Physical Therapist in Private Practice | 9830561224 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Land Rehabilitation LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1188 W Sportsplex Dr
Ste 101
Kaysville, UT 84037
Phone (801) 547-1155
1950 E Fort Union Blvd
Ste 2
Salt Lake City, UT 84121
Phone (801) 943-1041
4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
2561 W 1550 N
Clinton, UT 84015-7917
Mailing address
2561 W 1550 N
Clinton, UT 84015-7917
Other providers in Clinton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.