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

Jan Black, MS, PT

Individual provider Neurology Physical Therapist · NPI 1568429967

Jan Black, MS, PT is a Physical Therapist in Private Practice in Sandy, Utah. Qualified in 1991, 35 years ago. Practices with The Dr Dale B. Hull Foundation for Neurological Rehabilitation, Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
35
Licensed in
UT
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

90 Albion Village Way
Sandy, UT 84070-4013
Phone: (801) 619-3670
Fax: (801) 619-3679
Show map & directions

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

Specialties & licences

Neurology Physical Therapist (primary) Taxonomy 2251N0400X · Licence 120890-2401 (UT)

Record details

NPI number1568429967
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PT
Sole proprietorNo
NPI enumeratedApril 28, 2006
Last updated in NPPESApril 13, 2020
Certification dateApril 13, 2020
Mailing address90 Albion Village Way, Sandy, UT 84070-4013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice The Dr. Dale B. Hull Foundation For Neurological Rehabilitation, Inc. — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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