JACQUELYN GRAVELLE DPT
NPI 1700267168
Physical Therapist in Salt Lake City, UT
About Jacquelyn Gravelle Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN GRAVELLE DPT (NPI 1700267168) is an individual physical therapist in Salt Lake City, Utah, licensed in Utah (9307924-8016) and active in the NPI registry since June 2015.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacquelyn Gravelle Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacquelyn Gravelle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 144 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84132
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacquelyn Gravelle's NPI number?
The NPI number for Jacquelyn Gravelle is 1700267168. It was assigned to this individual provider in the NPPES registry on June 11, 2015.
Where is Jacquelyn Gravelle located?
Jacquelyn Gravelle practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-2843.
What is Jacquelyn Gravelle's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jacquelyn Gravelle enrolled in Medicare?
Yes. Jacquelyn Gravelle is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacquelyn Gravelle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Gravelle reassigns Medicare benefits to University Of Utah (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Gravelle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelyn Gravelle accept?
Health plans from Select Health list Jacquelyn Gravelle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacquelyn Gravelle was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.