Individual provider Active NPI

Jeffery Kingsolver, PT

  • Physical Therapist
  • Provo, UT
National Provider Identifier
1972687606
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3379892401 Issued in UT
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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 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

Enrollment IDStateProvider typePAC IDDetails
I20070127000090 UT Practitioner - Physical Therapist in Private Practice 5092715979 Reassigns benefits to 2 organizations

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
Premier Family MedicalGroup PAC ID 7416197785, 84 clinicians

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

LicenseStateTypeSpecialty
3379892401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medical - American Fork Physical Therapy CurrentSince Jul 19, 2021 Accepting new patients
Premier Family Medical - City Center CurrentSince Jul 19, 2021 Accepting new patients
Biokinetix Physical Therapy, LLC CurrentSince Jul 9, 2025 Accepting new patients
Premier Family Medical Physical Therapist Current Accepting new patients
House Call Physical Therapy CurrentSince May 14, 2021 Accepting new patients
Spine Orthopedic & Sports Physical Therapy LLC Physical Therapist PastSince Aug 25, 2025 Accepting new patients
Professional Therapy and Rehabilitation LLC Physical Therapist PastSince Apr 1, 1995 Accepting new patients
Orem Sports Medicine Center, LLC Physical Therapist PastSince Mar 7, 2016 Accepting new patients
Fyzical Audiology LLC PastSince Apr 17, 2020 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.

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.

Verify at the official NPI Registry.