IndividualActive
Robert Jackson, PT
NPI 1043314479 · Physical Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1043314479
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 1043712401 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1952 East 7000 S
100
Salt Lake City, UT 84121
Phone: (801) 942-3311
Fax: (801) 943-3989
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 711185
Salt Lake City, UT 84171
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.