KENDYL NELSON – Physical Therapist, NPI 1568349447

KENDYL NELSON is a healthcare provider. based in Draper, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 14225992-2401 (UT). The NPI Number for KENDYL NELSON is 1568349447

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KENDYL NELSON
NPI
1568349447
Phone
(801) 319-9210
Address
13497 S BRIDLE GATE LN
Enumeration Date
20 August 2025
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012302018
Graduation Year
2025 (1 year ago)
PAC ID
9638675788
Group Practice PAC ID
2264595560
Professional Enrollment ID
I20250929002974
Address ID
UT840032151AM636XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for KENDYL NELSON

  • 13497 S BRIDLE GATE LN

    DRAPER, UT 840207002

    Phone: (801) 319-9210

    Type: Mailing

  • 636 E STATE RD

    AMERICAN FORK, UT 840032151

    Phone: (801) 492-6579

    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: 2025-09-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250929002974IPhysical Therapist In Private PracticeUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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 84020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264595560View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
-UT

Reviews

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Frequently asked questions

What unique ID ties claims to KENDYL NELSON?
NPI 1568349447 is assigned to KENDYL NELSON under the national enumeration system.
Does this profile mean KENDYL NELSON is currently active?
Yes — KENDYL NELSON appears active in the national provider directory.
What field does KENDYL NELSON work in?
You can think of KENDYL NELSON as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for KENDYL NELSON?
We surface Draper, Utah for KENDYL NELSON based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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