Active NPI
Emily Elizabeth Werkheiser, PT, DPT
- Sports Physical Therapist
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 135256642401
- Practice address
- 3870 Stadium Way Dept 2701
Ogden, UT 84408-2701 - Phone
- (801) 901-9558
- NPI assigned
- Aug 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 135256642401 | UT | |
| Sports Physical Therapist | 2251S0007X | 135256642401 | UT | Primary |
Addresses
Primary practice location
3870 Stadium Way Dept 2701
Ogden, UT 84408-2701
Mailing address
3870 Stadium Way Dept 2701
Ogden, UT 84408-2701
Phone (801) 901-9558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2295 S Foothill Dr
Suite 1
Salt Lake City, UT 84109-4006
Phone (801) 486-7542
4179 S Riverboat Rd
Suite 110
Taylorsville, UT 84123-2595
Phone (801) 337-4475
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135256642401 | UT | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Land Rehabilitation LLC | Sports | Current | Accepting new patients |
Locations
2295 S Foothill Dr
Ste 1
Salt Lake City, UT 84109
Phone (801) 486-7542
4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1760267702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3870 STADIUM WAY DEPT 2701",
"city": "OGDEN",
"state": "UT",
"postal_code": "844082701",
"telephone_number": "801-901-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3870 STADIUM WAY DEPT 2701",
"city": "OGDEN",
"state": "UT",
"postal_code": "844082701",
"telephone_number": "801-901-9558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERKHEISER",
"first_name": "EMILY",
"middle_name": "ELIZABETH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "UT",
"license": "135256642401",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "UT",
"license": "135256642401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.