Individual provider Active NPI

Naquita Ahern, DPT

  • Neurology Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1114447653
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
8892712-2401 Issued in UT
Practice address
15 N 2030 E
Salt Lake City, UT 84112-5339
Phone
(801) 587-8711
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 8892712-2401 UT Primary

Addresses

Primary practice location

15 N 2030 E
Salt Lake City, UT 84112-5339

Mailing address

15 N 2030 E
Salt Lake City, UT 84112-5339
Phone (801) 587-8711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address naquita.ahern@hsc.utah.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170720001158 AZ Practitioner - Physical Therapist in Private Practice 7416227681
I20190528002378 UT Practitioner - Physical Therapist in Private Practice 7416227681 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13104AZMDPhysical Therapist
PTP-PT-LIC-7712MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah CurrentSince Mar 26, 2019 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Aug 7, 2017 Accepting new patients
University of Utah CurrentSince Mar 26, 2019 Accepting new patients
North Country Healthcare, Inc. CurrentSince Aug 7, 2017 Accepting new patients

Locations

301 S 7th St
Williams, AZ 86046
Phone (928) 380-2611

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1114447653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N 2030 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125339",
            "telephone_number": "801-587-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N 2030 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125339",
            "telephone_number": "801-587-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHERN",
        "first_name": "NAQUITA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "UT",
            "license": "8892712-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "naquita.ahern@hsc.utah.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "15 N 2030 E",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841125339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.