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

Jeffery Kingsolver, PT

Individual provider Physical Therapist · NPI 1972687606

Jeffery Kingsolver, PT is a Physical Therapist in Private Practice in Provo, Utah. Qualified in 1997, 29 years ago. Practices with Premier Family Medical, a 84-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
29
Licensed in
UT
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1067 N 500 W
Provo, UT 84604-3305
Phone: (801) 226-0599
Fax: (801) 226-3145
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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 3379892401 (UT)

Record details

NPI number1972687606
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 26, 2010
Mailing addressPo Box 307, Bountiful, UT 84011-0307

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Premier Family Medical — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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