Active NPI
Jeffery Kingsolver, PT
- Physical Therapist
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3379892401
- Practice address
- 1067 N 500 W
Provo, UT 84604-3305 - Phone
- (801) 226-0599
- Fax
- (801) 226-3145
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 26, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 3379892401 | UT | Primary |
Addresses
Primary practice location
1067 N 500 W
Provo, UT 84604-3305
Mailing address
PO Box 307
Bountiful, UT 84011-0307
Phone (801) 294-6907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 W 200
Lindon, UT 84042-5009
Phone (801) 796-1333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3379892401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Family Medical - American Fork Physical Therapy | Current | Accepting new patients | |
| Premier Family Medical - City Center | Current | Accepting new patients | |
| Biokinetix Physical Therapy, LLC | Current | Accepting new patients | |
| Premier Family Medical | Physical Therapist | Current | Accepting new patients |
| House Call Physical Therapy | Current | Accepting new patients | |
| Spine Orthopedic & Sports Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Professional Therapy and Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
| Orem Sports Medicine Center, LLC | Physical Therapist | Past | Accepting new patients |
| Fyzical Audiology LLC | Past | Accepting new patients |
Locations
1112 E 300 N
Ste 302
American Fork, UT 84003
Phone (801) 642-2890
275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333
275 W 200 N
Ste 150
Lindon, UT 84042
Phone (801) 769-2642
830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Pleasant Grove, UT
- NPI 1750725735
Physical Therapist
-
- Physical Therapy Clinic/Center
- St George, UT
- NPI 1770037798
-
- Physical Therapy Clinic/Center
- St George, UT
- NPI 1700775855
-
- Physical Therapy Clinic/Center
- American Fork, UT
- NPI 1053715250
-
- Family Medicine Physician
- Eagle Mountain, UT
- NPI 1649160235
-
- Audiologist
- Provo, UT
- NPI 1841819992
-
- Physical Therapist
- Orem, UT
- NPI 1659397313
-
dba Peak Physical Therapy and Sports Medicine
- Physical Therapist
- Spanish Fork, UT
- NPI 1629259189
-
dba FYZICAL Spine, Orthopedic, Sports Therapy & Balance Center
- Physical Therapy Clinic/Center
- Provo, UT
- NPI 1447275946
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1972687606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840110307",
"telephone_number": "801-294-6907",
"fax_number": "801-294-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1067 N 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846043305",
"telephone_number": "801-226-0599",
"fax_number": "801-226-3145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSOLVER",
"first_name": "JEFFERY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "3379892401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.