Kevin Dee Church, P.T.
NPI 1376678334ActiveIndividual· Physical Therapist· Taylorsville, UT
Physical Therapist (P.T.) in Taylorsville, Utah, licensed in UT and AZ, with an NPI issued in February 2007. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1376678334 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | No |
| NPI issued | Feb 22, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 119835-2401 | UT |
| Physical Therapist | 225100000X | 5665 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (UT) |
|---|
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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