Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roots Pediatric Therapy

Organization Pediatric Physical Therapist · NPI 1962024943

Roots Pediatric Therapy is a Pediatric Physical Therapist in Park City, Utah. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

5976 Kingsford Ave
Park City, UT 84098-6315
Phone: (907) 744-3978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X
Pediatric Physical Therapist Taxonomy 2251P0200X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1962024943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robyn Thompson — Owner · (907) 744-3978
NPI enumeratedMay 12, 2020
Last updated in NPPESMay 12, 2020
Certification dateMay 12, 2020
Mailing address5976 Kingsford Ave, Park City, UT 84098-6315