KAILEY SKOTAK (DPT) – Physical Therapist, NPI 1174158679
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT
Provider Addresses for KAILEY SKOTAK (DPT)
22 S 900 E
SALT LAKE CITY, UT 841021307
Phone: (801) 758-0428
Type: Mailing
9097 E DESERT COVE AVE STE 110
SCOTTSDALE, AZ 852606276
Phone: (602) 329-8250
Type: Mailing
16611 S 40TH ST STE 130
PHOENIX, AZ 850480564
Phone: (480) 706-1199
Fax: (480) 706-3999
Type: Location
756 E 12200 S
Draper, UT 840209724
Phone: (801) 758-0428
Type: Location
14287 N 87TH ST STE 220
SCOTTSDALE, AZ 852603698
Phone: (602) 329-8250
Fax: (480) 565-1898
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251027003598 | I | Physical Therapist In Private Practice | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| - | UT | |
| Qualified Audiologist | UT | |
| Qualified Speech Language Pathologist | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| Physician Assistant | OH | |
| Qualified Audiologist | TX | |
| O T O L A R Y N G O L O G Y | UT |
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