Individual provider Active NPI

Jacob Carl Kap, PT

  • Physical Therapist
  • Roy, UT
National Provider Identifier
1952941734
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11589561-2401 Issued in UT
Practice address
5991 S 3500 W Ste 300
Roy, UT 84067-6702
Phone
(801) 985-2700
Fax
(801) 985-2707
NPI assigned
Jan 9, 2020
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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 11589561-2401 UT Primary

Addresses

Primary practice location

5991 S 3500 W Ste 300
Roy, UT 84067-6702

Mailing address

736 S 2000 W Ste 1
Syracuse, UT 84075-9691
Phone (801) 896-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address beth@rockrunpt.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200327001990 UT Practitioner - Physical Therapist in Private Practice 6507295409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

3895 Harrison Blvd
Ogden, UT 84403-2312
Phone (801) 387-7678

5373 S Green St
Suite 400
Murray, UT 84123-4740
Phone (801) 442-2615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11589561-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Ihc Health Services Inc Physical Therapist CurrentSince Sep 25, 2023 Accepting new patients
Mountain Strong Spine and Performance Current Accepting new patients
Rock Run Physical Therapy and Rehab Specialists,LLC Physical Therapist CurrentSince Feb 4, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 11, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Daniel J. Hansen, D.O., PLLC PastSince Jan 12, 2020 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

5991 S 3500 W
Ste 300
Roy, UT 84067
Phone (801) 985-2700

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

5373 S Green St
Ste 400
Salt Lake City, UT 84123
Phone (801) 442-2615

736 S 2000 W
Ste 1
Syracuse, UT 84075
Phone (801) 399-3324

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1952941734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 S 2000 W STE 1",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759691",
            "telephone_number": "801-896-9200",
            "fax_number": "801-896-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5991 S 3500 W STE 300",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840676702",
            "telephone_number": "801-985-2700",
            "fax_number": "801-985-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAP",
        "first_name": "JACOB",
        "middle_name": "CARL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11589561-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beth@rockrunpt.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5991 S 3500 W Ste 300",
            "city": "Roy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840676702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.