Wasatch Podiatry PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

7259622-0501 Issued in UT

Legal business name

WASATCH PODIATRY PLLC

Practice address

1679 Shadow Valley Dr
Ogden, UT 84403-4626

Phone

(801) 430-8406

Fax

(801) 393-6092

NPI assigned

Feb 16, 2011

Last updated

Mar 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Agres, DPMNPI 1053560789

Title

Owner

Phone

(801) 430-8406

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Jespersen Agres, DPM

  • Foot Surgery Podiatrist
  • Ogden, UT
  • NPI 1053560789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1114224805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150383",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150383",
            "telephone_number": "801-430-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 SHADOW VALLEY DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034626",
            "telephone_number": "801-430-8406",
            "fax_number": "801-393-6092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 E Center St",
            "address_purpose": "LOCATION",
            "city": "Kaysville",
            "state": "UT",
            "postal_code": "840371920",
            "country_code": "US",
            "telephone_number": "801-430-8406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5275 Adams Ave Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844057238",
            "country_code": "US",
            "telephone_number": "801-430-8406",
            "fax_number": "801-393-6092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WASATCH PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "AGRES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-430-8406",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "7259622-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Lee Warwood, APRN
• Wasatch Advanced Dental Care LLC
• Wasatch Dental Association, P.C.
• Wasatch Dermatology, PC
• Wasatch Physical and Rehabilitation Medicine, P.C.
• Wasatch Post-Acute Services
• Wasatch RPM LLC
• Wasatch Therapy Inc
• Hannah Washke
• Waterfall Canyon Academy, Inc.

• Podiatrist in Ogden, UT
• Providers in Ogden, UT by specialty
• Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.