Individual provider Active NPI

Kevin Leigh Smith, PT, ATC

  • Physical Therapist
  • Sandy, UT
National Provider Identifier
1962105304
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
326191-2401 Issued in UT
Practice address
8243 S Oak Cir
Sandy, UT 84093-6923
Phone
(801) 210-0127
NPI assigned
Mar 24, 2023
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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 326191-2401 UT Primary

Addresses

Primary practice location

8243 S Oak Cir
Sandy, UT 84093-6923

Mailing address

1900 Kolob Road Sunset Canyon Ranch
Virgin, UT 84779
Phone (801) 450-4458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060126000045 UT Practitioner - Physical Therapist in Private Practice 7416961743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marchant Physical Therapy and Wellness IncGroup PAC ID 5890693055, 18 clinicians

Practice addresses (Care Compare)

585 E Riverside Dr
Suite 104
St George, UT 84790-7141
Phone (435) 673-4303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
326191-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marchant Physical Therapy & Wellness, Inc. Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Moove PT CurrentSince Mar 26, 2023 Accepting new patients
Heber Valley Physical Therapy Inc Past Accepting new patients

Locations

340 Falcon Ridge Pkwy
Bldg 500
Mesquite, NV 89027
Phone (435) 688-8991

585 E Riverside Dr
Ste 104
St George, UT 84790
Phone (435) 673-4303

617 E Riverside Dr
Ste 303
St George, UT 84790
Phone (435) 652-4455

Organizations & group practices 3

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": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1962105304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 KOLOB ROAD SUNSET CANYON RANCH",
            "city": "VIRGIN",
            "state": "UT",
            "postal_code": "84779",
            "telephone_number": "801-450-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8243 S OAK CIR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936923",
            "telephone_number": "801-210-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "LEIGH",
        "credential": "PT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "326191-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.