Active NPI
Daniel Johnson, PT, DPT, PRPC
- Physical Therapist
- Kaysville, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11680864-2401
- Practice address
- 330 N Main St Ste 75
Kaysville, UT 84037-1106 - Phone
- (801) 204-9204
- Fax
- (801) 682-4853
- NPI assigned
- Oct 7, 2016
- Last updated
- Jan 29, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6312 | NV | |
| Physical Therapist | 225100000X | 11680864-2401 | UT | Primary |
Addresses
Primary practice location
330 N Main St Ste 75
Kaysville, UT 84037-1106
Mailing address
330 N Main St Ste 75
Kaysville, UT 84037-1106
Phone (801) 204-9204
Other practice location 1
1336 S 1100 E
Salt Lake City, UT 84105-2421
Phone (801) 204-9204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
42 N 650 W
Ste A
Farmington, UT 84025
Phone (801) 447-9627
5349 Adams Avenue Pkwy
Ste A
Washington Tr, UT 84405
Phone (801) 479-9865
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, 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": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1265982771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 N MAIN ST STE 75",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840371106",
"telephone_number": "801-204-9204",
"fax_number": "801-682-4853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N MAIN ST STE 75",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840371106",
"telephone_number": "801-204-9204",
"fax_number": "801-682-4853"
}
],
"practiceLocations": [
{
"address_1": "1336 S 1100 E",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841052421",
"country_code": "US",
"telephone_number": "801-204-9204",
"fax_number": "801-682-4853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DANIEL",
"credential": "PT, DPT, PRPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-07",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "6312",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "11680864-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaysville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.