Active NPI
Wayne L. Shelton, P.T.
- Physical Therapist
- Spanish Fork, UT
National Provider Identifier
1376562058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22-105815-2401
- Practice address
- 317 W Center St
Spanish Fork, UT 84660-2024 - Phone
- (801) 798-9100
- Fax
- (801) 798-2902
- NPI assigned
- Jul 19, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22-105815-2401 | UT | Primary |
Addresses
Primary practice location
317 W Center St
Spanish Fork, UT 84660-2024
Mailing address
317 W Center St
Spanish Fork, UT 84660-2024
Phone (801) 798-9100
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87726 | Other | UT | UNITIED HEALTH CARE INSUR |
| QMXAF02280 | Other | UT | ALTIUS INSURANCE COMPANY |
| 3006 | Other | UT | PEHP INSURANCE COMPANY |
| 52191 | Other | UT | HEALTH CHOICE INSURANCE |
| P00160047UT009 | Other | UT | RAIL ROAD MEDICARE |
| 107009326101 | Other | UT | SELECT HEALTH INSURANCE |
| 19942 | Other | UT | DMBA INSURANCE COMPANY |
| 52191 | Other | UT | FIRST HEALTH INSURANCE CO |
| 560223 | Other | CIGNA INSURANCE COMPANY | |
| 4525932 | Other | AETNA INSURANCE COMPANY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-105815-2401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1376562058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 W CENTER ST",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846602024",
"telephone_number": "801-798-9100",
"fax_number": "801-798-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 W CENTER ST",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846602024",
"telephone_number": "801-798-9100",
"fax_number": "801-798-2902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "WAYNE",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "22-105815-2401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITIED HEALTH CARE INSUR",
"identifier": "87726",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS INSURANCE COMPANY",
"identifier": "QMXAF02280",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP INSURANCE COMPANY",
"identifier": "3006",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CHOICE INSURANCE",
"identifier": "52191",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00160047UT009",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH INSURANCE",
"identifier": "107009326101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA INSURANCE COMPANY",
"identifier": "19942",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH INSURANCE CO",
"identifier": "52191",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INSURANCE COMPANY",
"identifier": "560223",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE COMPANY",
"identifier": "4525932",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Spanish Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.