Kyle Radanovich, DPT in Sandy, UT - Medicare Physical Therapist Provider

Kyle Radanovich, DPT is a medicare enrolled "Physical Therapist" provider in Sandy, Utah. His current practice location is 9450 S 1300 E, Sandy, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 501-2133.

Kyle Radanovich is licensed to practice in Utah (license number 12592739-2401) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184378895.

Contact Information

	Kyle Radanovich, DPT
	9450 S 1300 E, Sandy, UT 84094-5555
	(801) 501-2133
	(801) 501-2254

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Radanovich
Gender	Male
Speciality	Physical Therapist
Location	9450 S 1300 E, Sandy, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184378895
Provider Enumeration Date: 02/10/2022
Last Update Date: 06/11/2024

Medicare PECOS Information:

PECOS PAC ID: 5698143584
Enrollment ID: I20221128001091

Medical Identifiers

Medical identifiers for Kyle Radanovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184378895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12592739-2401 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyle Radanovich allows following entities to bill medicare on his behalf.

Provider Name	Mountain Land Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1265549372 PECOS PAC ID: 9234048745 Enrollment ID: O20220401002028

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Radanovich is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kyle Radanovich, DPT Po Box 25537, Salt Lake City, UT 84125-0537 Ph: () -	Kyle Radanovich, DPT 9450 S 1300 E, Sandy, UT 84094-5555 Ph: (801) 501-2133

Reviews and Comments

Physical Therapist in Sandy, UT

Todd Chynoweth, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 East 9400 South, Suite 103, Sandy, UT 84094 Phone: 801-576-6417 Fax: 801-576-7536
Kendall Christin Fischer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8160 S 1330 E, Sandy, UT 84093 Phone: 435-962-0124
Mark A Anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 885 East 9400 South, Sandy, UT 84094 Phone: 801-562-0066 Fax: 801-562-2124
David Stallings Jensen, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1803 Abbedale Ln, Sandy, UT 84092 Phone: 801-619-0483
Precision Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 8706 S 700 E Ste 101, Sandy, UT 84070 Phone: 602-300-3812
Michael Ahuna, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8706 S 700 E Ste 101, Sandy, UT 84070 Phone: 385-217-5699 Fax: 855-564-1778
Nathan Bill Norr, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 885 E 9400 S, Sandy, UT 84094 Phone: 801-562-0066

Kyle Radanovich, DPT - Medicare Physical Therapist in Sandy, UT