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Sadie Jin, PT, DPT

NPI 1649166208ActiveIndividual· Physical Therapist· Holladay, UT

Physical Therapist (PT, DPT) with Mountain Land Rehabilitation LLC and 3 other groups, practicing in Holladay, Utah. Enrolled in Medicare as practitioner - physical therapist in private practice.

Overview

NPI1649166208
StatusActive
Entity typeIndividual
CredentialPT, DPT
Sole proprietorNo
NPI issuedJun 17, 2025
Last updated in NPPESMay 11, 2026
Certified by providerMay 11, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X142243312401UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (UT)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyPhysical Therapist In Private Practice

Medical groups

Source: CMS Care Compare

Other Physical Therapist providers in Holladay

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