KINETIC PHYSICAL THERAPY PLLC
NPI 1831862903
Clinic/Center - Physical Therapy in Herriman, UT

Active since July 26, 2021
5089 W HERRIMAN BLVD STE 2B, HERRIMAN, UT 84096(480) 206-1591 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 7, 2021, Jul 26, 2021 (2 updates tracked since 2021).

About Kinetic Physical Therapy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINETIC PHYSICAL THERAPY PLLC (NPI 1831862903) is a healthcare organization registered as a physical therapy in Herriman, Utah and active in the NPI registry since July 2021. The organization lists Sean Aaron Miller, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1831862903
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameKINETIC PHYSICAL THERAPY PLLC
Location Address5089 W HERRIMAN BLVD STE 2BHerriman, UT 84096-2599
Mailing Address17939 E Appaloosa DrQueen Creek, AZ 85142-4529 · (480) 206-1591
Organization SubpartNo
Authorized OfficialSean Aaron MillerCeo/owner · (480) 206-1591
Enumeration DateJuly 26, 2021
Last NPPES UpdateSeptember 7, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
✔ NPI 1831862903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
5089 W HERRIMAN BLVD STE 2B, Herriman, UT 84096

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kinetic Physical Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Kinetic Physical Therapy PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Physical Therapist in Private Practice
NPI 1023037389
5089 W HERRIMAN BLVD STE 2B
Herriman, UT 84096
(480) 206-1591
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1598122657
5089 W HERRIMAN BLVD STE 2B
Herriman, UT 84096
(801) 303-1991
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1366060139
412 W 800 N
Orem, UT 84057
(801) 235-7246
✔ Accepts Medicare22 mi
Physical Therapist in Private Practice
NPI 1689104812
3303 N UNIVERSITY AVE
Provo, UT 84604
(801) 373-7438
✔ Accepts Medicare25 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kinetic Physical Therapy PLLC's NPI number?

The NPI number for Kinetic Physical Therapy PLLC is 1831862903. It was assigned to this organization in the NPPES registry on July 26, 2021.

Where is Kinetic Physical Therapy PLLC located?

Kinetic Physical Therapy PLLC is located at 5089 W Herriman Blvd Ste 2B, Herriman, UT 84096. The listed phone number is (480) 206-1591.

What is Kinetic Physical Therapy PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Kinetic Physical Therapy PLLC enrolled in Medicare?

Yes. Kinetic Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kinetic Physical Therapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Kinetic Physical Therapy PLLC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kinetic Physical Therapy PLLC was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.