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

Jeremy Kevin Ensign

Individual provider Physical Therapist · NPI 1528816808

Jeremy Kevin Ensign is a Physical Therapist in Private Practice in South Jordan, Utah. Qualified in 2024, 2 years ago. Practices with Foundation Physical Therapy, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2024
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Practice location Address checks out

1628 W 11010 S Ste 101
South Jordan, UT 84095-1278
Phone: (801) 613-1890
Fax: (801) 613-2909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1225 E Fort Union Blvd Ste 100, Cottonwood Heights, UT 84047-1881 — (801) 405-9272

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13960851-2401 (UT)

Record details

NPI number1528816808
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 10, 2024
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Foundation Physical Therapy — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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