Danielle Leigh Fogg, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

7388179-2402 Issued in UT

Practice address

1787 E Fort Union Blvd Ste 101
Cottonwood Heights, UT 84121-2868

Phone

(801) 883-8203

NPI assigned

Apr 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Injury Centers of Utah

  • Physical Medicine & Rehabilitation Physician
  • Cottonwood Heights, UT
  • NPI 1174338172
  NPD

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1740033794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 E FORT UNION BLVD STE 101",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841212868",
            "telephone_number": "801-997-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 E FORT UNION BLVD STE 101",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841212868",
            "telephone_number": "801-883-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGG",
        "first_name": "DANIELLE",
        "middle_name": "LEIGH",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "7388179-2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Fike, ACMHC
• Brian Finnerty, OTR/L
• Betty Flomo
• Isaiah Flores
• Viviana Celeste Flores
• Polohiva Folaumahina
• Sierra Foote
• Jamie Forchic
• Paula Michelle Forman
• Richard Jacob Foster

• Physical Medicine & Rehabilitation Physician in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.