Individual provider Active NPI

Kurt V Heusser, PT

  • Physical Therapist
  • Bountiful, UT
National Provider Identifier
1174611941
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1195022401 Issued in UT
Practice address
944 Claremont Dr
Bountiful, UT 84010-2313
Phone
(707) 354-2469
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1195022401 UT Primary

Addresses

Primary practice location

944 Claremont Dr
Bountiful, UT 84010-2313

Mailing address

944 Claremont Dr
Bountiful, UT 84010-2313
Phone (707) 354-2469

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210527000565 UT Practitioner - Physical Therapist in Private Practice 5496154254 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1195022401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
David L Wetzel LLC Physical Therapist CurrentSince May 24, 2021 Accepting new patients

Organizations & group practices 1

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1174611941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 CLAREMONT DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840102313",
            "telephone_number": "707-354-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 CLAREMONT DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840102313",
            "telephone_number": "707-354-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUSSER",
        "first_name": "KURT",
        "middle_name": "V",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "1195022401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.