Individual provider Active NPI

Dayton Ferguson, DPT

  • Community Health Worker
  • Heber City, UT
National Provider Identifier
1164821682
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
9049002-2401 Issued in UT
Practice address
513 N Main St
Heber City, UT 84032-1214
Phone
(435) 654-4525
Fax
(435) 654-4138
NPI assigned
Aug 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 9049002-2401 UT Primary

Addresses

Primary practice location

513 N Main St
Heber City, UT 84032-1214

Mailing address

PO Box 747
Heber City, UT 84032-0747
Phone (435) 654-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518001278 UT Practitioner - Physical Therapist in Private Practice 3678862489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wasatch Physical Therapy CoGroup PAC ID 1759489636, 3 clinicians

Practice addresses (Care Compare)

376 E Gateway Dr
Suite 101
Heber City, UT 84032-4616
Phone (435) 654-4525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wasatch Physical Therapy Co CurrentSince Apr 4, 2016 Accepting new patients
Wasatch Physical Therapy & Sports Medicine at Park City Past Accepting new patients

Locations

513 N Main St
Heber City, UT 84032
Phone (435) 649-7335

376 E Gateway Dr
Ste 101
Heber City, UT 84032
Phone (435) 654-4525

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1164821682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840320747",
            "telephone_number": "435-654-4525",
            "fax_number": "435-654-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 N MAIN ST",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321214",
            "telephone_number": "435-654-4525",
            "fax_number": "435-654-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "DAYTON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "UT",
            "license": "9049002-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.