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

Jacob Proffit, DPT, ATC

Individual provider Athletic Trainer · NPI 1154185148

Jacob Proffit, DPT, ATC is a Physical Therapist in Private Practice in Logan, Utah. Qualified in 2023, 3 years ago. Practices with Wasatch Therapy Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2024
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

209 W 300 N
Logan, UT 84321-3809
Phone: (435) 716-8535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11965771-2401 (UT)
Athletic Trainer Taxonomy 2255A2300X · Licence 11965771-4810 (UT)

Record details

NPI number1154185148
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , ATC
Sole proprietorNo
NPI enumeratedFebruary 9, 2024
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024
Mailing address9195 N 6400 W, Tremonton, UT 84337-8603

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wasatch Therapy Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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