KIMBERLY C SUMMERS (DPT) – Physical Therapist, NPI 1629729298

KIMBERLY C SUMMERS (DPT) is a healthcare provider. based in South jordan, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 12632762-2401 (UT). The NPI Number for KIMBERLY C SUMMERS (DPT) is 1629729298

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY C SUMMERS (DPT)
NPI
1629729298
Phone
(801) 878-9868
Address
3556 W 9800 S Ste 103
Enumeration Date
14 January 2022
Last Update Date
8 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013027232
Graduation Year
2021 (5 years ago)
PAC ID
9335532241
Group Practice PAC ID
7911807508
Professional Enrollment ID
I20220216001806
Address ID
UT840966789HE133585600300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for KIMBERLY C SUMMERS (DPT)

  • 3556 W 9800 S Ste 103

    South Jordan, UT 840953222

    Phone: (801) 878-9868

    Fax: (801) 878-9690

    Type: Location

  • 14241 S REDWOOD RD STE A-020

    BLUFFDALE, UT 840655223

    Phone: (801) 302-7230

    Fax: (801) 601-8245

    Type: Mailing

  • BEYOND LIMITS PHYSICAL THERAPY

    13358 S ROSECREST RD

    HERRIMAN, UT 840964501

    Phone: (801) 302-7230

    Fax: (801) 601-8245

    Type: Mailing

  • 13358 S ROSECREST RD

    HERRIMAN, UT 840964501

    Phone: (801) 302-7232

    Fax: (801) 302-7237

    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: 2022-02-16

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
I20220216001806IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19235$0
97140Therapy procedure using manual technique, each 15 minutes10331$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care9331$0
97164Re-evaluation for physical therapy, typically 20 minutes1411$0
View full utilization report →

Insurance plans in this area (ZIP 84095)

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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: 7911807508View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
-UT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

What federal number belongs to KIMBERLY C SUMMERS (DPT)?
The federal identifier for KIMBERLY C SUMMERS (DPT) is NPI 1629729298.
Is KIMBERLY C SUMMERS (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KIMBERLY C SUMMERS (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for KIMBERLY C SUMMERS (DPT). Clinical services aligned with this taxonomy classification.
Where is KIMBERLY C SUMMERS (DPT)'s primary listing?
We display South Jordan, Utah because that is what the record indicates for KIMBERLY C SUMMERS (DPT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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