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

Kailey Skotak, DPT

Individual provider Physical Therapist · NPI 1174158679

Kailey Skotak, DPT is a Physical Therapist in Private Practice in Salt Lake City, Utah. Qualified in 2019, 7 years ago. Practices with Intermountain Ear Nose and Throat Specialists LLC, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

22 S 900 E
Salt Lake City, UT 84102-1307
Phone: (801) 758-0428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 756 E 12200 S, Draper, UT 84020-9724 — (801) 758-0428

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14224776-2401 (UT)

Record details

NPI number1174158679
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 5, 2020
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Intermountain Ear Nose And Throat Specialists Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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