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

Jillian Danielle Shiembob, PT

Individual provider Physical Therapist · NPI 1679868939

Jillian Danielle Shiembob, PT is a Physical Therapist in Private Practice in Salt Lake City, Utah. Qualified in 2011, 15 years ago. Practices with Confederated Tribes of the Goshute Reservation, a 60-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2011
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

660 S 200 E
Salt Lake City, UT 84111-3835
Phone: (413) 348-8247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1679868939
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 15, 2011
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Confederated Tribes Of The Goshute Reservation — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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