Mary Kathryn Pengelly, OT
- Medicare patients, 2024
- 16
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2023
- Practice address
- 11762 S State St, Draper, UT 84020
- Practice phone
- Call (801) 542-7194
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Canyon Crest Surgical LLC
Draper, Utah
Find Mary Pengelly's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Mary Kathryn Pengelly is an occupational therapist in Draper, Utah
Mary Pengelly practices at Canyon Crest Surgical LLC in Draper, Utah.
Mary Pengelly's NPI, 1861188856, was assigned on April 13, 2023. Mary Pengelly graduated from University of Oklahoma College of Medicine in 2020. Mary Pengelly holds Utah license 13293556-4201.
- NPI
- 1861188856NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7012376536
- NPI enumeration date
- April 13, 2023
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (801) 542-7194
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 32
- Medical school graduation
- 2020
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Mary Kathryn Pengelly practices at Canyon Crest Surgical LLC in Draper, Utah
Mary Pengelly's primary practice is Canyon Crest Surgical LLC, at 11762 S State St, Draper, UT 84020 in Salt Lake County. The practice phone is (801) 542-7194.
- Canyon Crest Surgical LLC11762 S State St, Draper, UT 84020 · Salt Lake CountyPhone(801) 542-7194
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Mary Kathryn Pengelly is affiliated with 2 sites of care and 1 medical group
Mary Pengelly's primary practice is Canyon Crest Surgical LLC in Draper, Utah. The medical group on file is Hand & Orthopedic Physical Therapy Specialists. Dmand AI also links Mary Pengelly to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Mary Kathryn Pengelly's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Mary Pengelly practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Canyon Crest Surgical LLC | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Mary Kathryn Pengelly is one of 204 occupational therapists in Utah
Occupational therapist is Mary Pengelly's primary specialty in the NPI Registry, under taxonomy code 225X00000X. Mary Pengelly is licensed in Utah.
Specialties and state licenses
- Occupational therapist, UtahPrimary
Occupational therapists near Mary Pengelly
Counts of occupational therapists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Mary Kathryn Pengelly treated 16 Medicare patients in 2024, average age 74
CMS counts 16 Medicare patients who saw Mary Pengelly in 2024. The largest group is under 65, with 0 patients. Their average risk score is 0.91, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Mary Pengelly's median patient age at 49, with 64% women.
Mary Pengelly's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Mary Pengelly's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 49
Patient panel by sex, all payers
- Women64%
- Men34%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
How Mary Kathryn Pengelly takes part in Medicare
Mary Pengelly accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Mary Kathryn Pengelly graduated from University of Oklahoma College of Medicine
Mary Pengelly graduated from University of Oklahoma College of Medicine in 2020.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Mary Kathryn Pengelly's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Mary Kathryn Pengelly
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Mary Kathryn Pengelly's NPI number?
Mary Kathryn Pengelly's NPI number is 1861188856. It was assigned on April 13, 2023, and it is active in the NPI Registry.
What does Mary Kathryn Pengelly specialize in?
Mary Kathryn Pengelly is an occupational therapist in Draper, Utah. The primary specialty in the NPI Registry is Occupational Therapist (taxonomy code 225X00000X).
Where does Mary Kathryn Pengelly practice?
Mary Pengelly practices at 11762 S State St, Draper, UT 84020. Mary Pengelly's primary practice is Canyon Crest Surgical LLC in Draper, Utah. Dmand AI also links Mary Pengelly to 1 group practice or clinic.
What is Mary Kathryn Pengelly's office phone number?
The practice phone on file for Mary Pengelly is (801) 542-7194.
What is Mary Kathryn Pengelly's medical license number?
Mary Pengelly holds Utah license 13293556-4201.
What medical group is Mary Kathryn Pengelly part of?
Mary Pengelly is linked to Hand & Orthopedic Physical Therapy Specialists.
Does Mary Kathryn Pengelly accept Medicare?
Yes. CMS lists Mary Pengelly as accepting Medicare assignment.
How many Medicare patients does Mary Kathryn Pengelly see?
CMS counts 16 Medicare patients who saw Mary Pengelly in 2024, with an average age of 74.
Where did Mary Kathryn Pengelly go to medical school?
Mary Pengelly graduated from University of Oklahoma College of Medicine in 2020.
How long has Mary Kathryn Pengelly been practicing?
Mary Pengelly graduated from medical school in 2020, 6 years ago.
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