Justin Lane Kitchen, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6267176-2401 Issued in UT

Practice address

1284 E Center St
Spanish Fork, UT 84660-2319

Phone

(458) 219-5874

NPI assigned

Aug 26, 2010

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Adept Motion

  • Physical Therapy Clinic/Center
  • Spanish Fork, UT
  • NPI 1336836758

  Physical Therapist

  NPD Authorized official

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1972819050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 E CENTER ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602319",
            "telephone_number": "458-219-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 E CENTER ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602319",
            "telephone_number": "458-219-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "JUSTIN",
        "middle_name": "LANE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-26",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6267176-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Daniel Kepoo, D.C.
• Joseph Kester
• KH Nutrition, LLC
• Seoyoung Kim
• Sione Kinikini
• KM Boyer LLC (Spanish Fork Nursing & Rehab)
• Makayla Knickerbocker
• Pamela Knowles
• Micaela Harley Knudsen
• Alexander Madsen Knudson, MD

• Physical Therapist in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.