Individual provider Active NPI

Weston Soudan, DPT

  • Orthopedic Physical Therapist
  • Spanish Fork, UT
National Provider Identifier
1063329910
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
14303694-2401 Issued in UT
Practice address
41 E 1000 N
Spanish Fork, UT 84660-1200
Phone
(385) 365-5053
NPI assigned
Aug 26, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 14303694-2401 UT Primary

Addresses

Primary practice location

41 E 1000 N
Spanish Fork, UT 84660-1200

Mailing address

41 E 1000 N
Spanish Fork, UT 84660-1200
Phone (385) 365-5053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1063329910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E 1000 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601200",
            "telephone_number": "385-365-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E 1000 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601200",
            "telephone_number": "385-365-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDAN",
        "first_name": "WESTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "14303694-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.