FST Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FST PHYSICAL THERAPY PLLC

Practice address

4095 E Pony Express Pwky
Ste 6
Eagle Mountain, UT 84005

Phone

(801) 459-7545

NPI assigned

Jul 29, 2026

Last updated

Jul 29, 2026By 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

Dr. Tyson Fernstrom, PT, DPTNPI 1689330847

Title

Physical Therapist/Owner

Phone

(801) 459-7545

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Tyson Ray Fernstrom, DPT

  • Physical Therapist
  • Eagle Mountain, UT
  • NPI 1689330847
  NPD (past) Authorized official

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1508788662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 E PONY EXPRESS PWKY",
            "address_2": "STE 6",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "84005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 E PONY EXPRESS PWKY",
            "address_2": "STE 6",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "84005",
            "telephone_number": "801-459-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FST PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "FERNSTROM",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "801-459-7545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Fairhurst, SSW
• Tyson Ray Fernstrom, DPT
• Skyler D Fischer, MSW
• Camrie Lynn Fletcher, M.S. CCC-SLP
• Jacob Chase Fowler, PHARMD
• Madeline Rose Gabor
• Bart Travis Gardiner, DDS
• Darren James Gillespie, CSW
• Lindsay Marie Gneiting, PTA
• Marilee Goljahmofrad, LMT

• Physical Therapy Clinic/Center in Eagle Mountain, UT
• Providers in Eagle Mountain, UT by specialty
• Physical Therapy Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.