Active NPI
Dayton Ferguson, DPT
- Community Health Worker
- Heber City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 9049002-2401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Physical Therapy Co | Current | 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.
-
- Physical Therapist
- Heber City, UT
- NPI 1629080544
-
- Physical Therapist
- Park City, UT
- NPI 1730194507
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.