NPIMap

Organization Active NPI

James H. Kelson, a Professional Physical Therapy Corporation

  • Physical Therapist
  • American Fork, UT
National Provider Identifier
1992940928
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1122412401 Issued in UT
Legal business name
JAMES H. KELSON, A PROFESSIONAL PHYSICAL THERAPY CORPORATION
Practice address
636 E State Rd
American Fork, UT 84003-2151
Phone
(801) 492-6577
Fax
(801) 492-6579
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Ms. Jule A. Kozlowski
Title
Office Manager
Phone
(801) 492-6577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1122412401 UT Primary

Addresses

Primary practice location

636 E State Rd
American Fork, UT 84003-2151

Mailing address

636 E State Rd
American Fork, UT 84003-2151
Phone (801) 492-6577

Other names 1

  • American Fork Physical Therapy and Sports Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090113000609 UT Part B Supplier - Clinic/Group Practice 2264595560 Receives reassigned benefits from 4 practitioners
Practice locations: American Fork, UT

National Provider Directory

National Provider Directory

Locations

636 E State Rd
American Fork, UT 84003
Phone (801) 230-2018

1275 S 800 E
Orem, UT 84097
Phone (801) 224-7667

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1992940928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 E STATE RD",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032151",
            "telephone_number": "801-492-6577",
            "fax_number": "801-492-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 E STATE RD",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032151",
            "telephone_number": "801-492-6577",
            "fax_number": "801-492-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H. KELSON, A PROFESSIONAL PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "KOZLOWSKI",
        "authorized_official_first_name": "JULE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-492-6577",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "1122412401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Fork Physical Therapy and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.