Active NPI
Hayden Anderson, DPT
- Physical Therapist
- Tremonton, UT
National Provider Identifier
1649001025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14116626-2401
- Practice address
- 805 W Main St
Tremonton, UT 84337-2607 - Phone
- (435) 257-6106
- NPI assigned
- Aug 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14116626-2401 | UT | Primary |
Addresses
Primary practice location
805 W Main St
Tremonton, UT 84337-2607
Mailing address
4017 Hollow Rd
Nibley, UT 84321-7965
Phone (435) 770-8155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241014002210 | UT | Practitioner - Physical Therapist in Private Practice | 3577095728 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Back at Work of Utah LLC
Practice addresses (Care Compare)
805 W Main St
Suite C
Tremonton, UT 84337-2608
Phone (435) 257-6106
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back at Work of Utah LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
772 E 700 S
Ste 3
Clearfield, UT 84015
Phone (801) 217-3755
805 W Main St
Ste C
Tremonton, UT 84337
Phone (435) 257-0106
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 and National Provider Directory roles.
-
- Physical Therapist
- Clearfield, UT
- NPI 1902423049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1649001025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4017 HOLLOW RD",
"city": "NIBLEY",
"state": "UT",
"postal_code": "843217965",
"telephone_number": "435-770-8155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W MAIN ST",
"city": "TREMONTON",
"state": "UT",
"postal_code": "843372607",
"telephone_number": "435-257-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "HAYDEN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "14116626-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tremonton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.