Heber Valley Physical Therapy Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

117343-2401 Issued in UT

Legal business name

HEBER VALLEY PHYSICAL THERAPY INC

Practice address

190 N Main St
Heber City, UT 84032-1600

Phone

(435) 654-0804

Fax

(435) 654-3314

NPI assigned

Jan 3, 2007

Last updated

Feb 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Willis K Clyde, P.T.NPI 1033293865

Title

Owner

Phone

(435) 654-0804

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Willis K Clyde, P.T.

  • Specialist
  • Heber City, UT
  • NPI 1033293865
  Medicare reassignment NPD Authorized official
• Riley Willis Clyde, DPT

  • Physical Therapist
  • Heber City, UT
  • NPI 1447921432
  Medicare reassignment
• Byron H Horner, M.S.P.T.

  • Specialist
  • Kamas, UT
  • NPI 1710061460
  NPD (past)
• Brandon Judd, MPT

  • Physical Therapist
  • Park City, UT
  • NPI 1407876667
  NPD (past)
• Alan J Kerbs, P.T.

  • Physical Therapist
  • Layton, UT
  • NPI 1952485625
  NPD (past)
• John H Nebeker, PT

  • Physical Therapist
  • Heber City, UT
  • NPI 1043226905
  NPD (past)
• Laine E Sabey, MPT

  • Physical Therapist
  • Lehi, UT
  • NPI 1851337133
  NPD (past)
• Kevin Leigh Smith, PT, ATC

  • Physical Therapist
  • Sandy, UT
  • NPI 1962105304
  NPD (past)
• Ernest A Jeppsen, MD

  • Psychiatry Physician
  • Palm Springs, CA
  • NPI 1891759254
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1396802617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840320013",
            "telephone_number": "435-654-0804",
            "fax_number": "435-654-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N MAIN ST",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321600",
            "telephone_number": "435-654-0804",
            "fax_number": "435-654-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBER VALLEY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "CLYDE",
        "authorized_official_first_name": "WILLIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-654-0804",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "117343-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heber Valley Dermatology
• Heber Valley Internal Medicine
• Heber Valley Medical LLC
• Heber Valley Oral & Maxillofacial Surgery
• Heber Valley Pediatric
• Johanna Hendrickson, PA-C
• Scott Curtis Hendrickson, DO
• Marci Heugly
• Hidden Piece Counseling LLC
• Kayleigh Hofheins

• Specialist in Heber City, UT
• Providers in Heber City, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.