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

Kyle Radanovich, DPT

Individual provider Physical Therapist · NPI 1184378895

Kyle Radanovich, DPT is a Physical Therapist in Private Practice in Sandy, Utah. Qualified in 2021, 5 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2022
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

9450 S 1300 E
Sandy, UT 84094-5555
Phone: (801) 501-2133
Fax: (801) 501-2254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8th Ave, Salt Lake City, UT 84143-0001 — (801) 408-1100

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12592739-2401 (UT)

Record details

NPI number1184378895
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 10, 2022
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing addressPo Box 25537, Salt Lake City, UT 84125-0537

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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