Wasatch Physical Therapy Co

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WASATCH PHYSICAL THERAPY CO

Practice address

513 N Main St
Heber City, UT 84032

Phone

(435) 649-7335

Fax

(435) 649-7568

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Dan S Ivie, MPTNPI 1861484131

Title

Owner

Phone

(435) 649-7335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dan Ivie, P.T

  • Physical Therapist
  • Park City, UT
  • NPI 1861484131
  Medicare reassignment Care Compare group NPD Authorized official
• Dayton Ferguson, DPT

  • Community Health Worker
  • Heber City, UT
  • NPI 1164821682
  Medicare reassignment Care Compare group NPD
• Zachary Potts

  • Physical Therapist
  • Heber City, UT
  • NPI 1841745684
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1629080544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 N MAIN ST",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "84032",
            "telephone_number": "435-649-7335",
            "fax_number": "435-649-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 N MAIN ST",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "84032",
            "telephone_number": "435-649-7335",
            "fax_number": "435-649-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH PHYSICAL THERAPY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "IVIE",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-649-7335",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wasatch County School District
• Wasatch Crest Recovery
• Wasatch Family Dentistry
• Wasatch Medicine LLC
• Wasatch Optimal Wellness Clinic LLC
• Wasatch Senior and Family Care LLC
• Wasatch TMS LLC
• Jordan Washburn
• Christy Anne Watt, RDN
• Amy Michelle Watts, ACMHC

• Physical Therapist in Heber City, UT
• Providers in Heber City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.