DR. JESSIKA ALLEN (PT, DPT ATC/L, FAAOM) – Physical Therapist, NPI 1275124828
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 DR. JESSIKA ALLEN (PT, DPT ATC/L, FAAOM)
PO BOX 66
HOOPER, UT 843150066
Phone: (801) 827-0200
Fax: (801) 827-0201
Type: Mailing
5957 FASHION POINT DR STE 102
SOUTH OGDEN, UT 844035180
Phone: (801) 827-0200
Fax: (801) 827-0201
Type: Location
14863 S SURI RISE LN # E206
HERRIMAN, UT 840962467
Phone: (419) 631-4040
Type: Mailing
1741 N 2000 W
Farr West, UT 844049810
Phone: (801) 827-0203
Type: Location
3476 W 4600 S
West Haven, UT 844019203
Phone: (801) 689-0200
Type: Location
35 W 50 S
Centerville, UT 840142376
Phone: (801) 827-0202
Type: Location
14787 S ACADEMY PKWY
HERRIMAN, UT 840962077
Phone: (419) 631-4040
Type: Location
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: 2024-04-24
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 |
|---|---|---|---|---|
| I20240424003152 | 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 84315)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | UT | |
| Physical Therapist In Private Practice | UT | |
| Physical Therapist In Private Practice | UT | |
| Physical Therapist In Private Practice | UT | |
| Physical Therapist In Private Practice | MS | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | UT | |
| Physical Therapist In Private Practice | UT | |
| Occupational Therapist In Private Practice | UT | |
| Physical Therapist In Private Practice | UT |
Reviews
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