Active NPI
Orlando G Heaton, PT
- Physical Therapist
- Vernal, UT
National Provider Identifier
1912002478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3614652401
- Practice address
- 151 W 200 N
Vernal, UT 84078-1907 - Phone
- (435) 789-3342
- Fax
- (435) 789-7892
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 3614652401 | UT | Primary |
Addresses
Primary practice location
151 W 200 N
Vernal, UT 84078-1907
Mailing address
151 W 200 N
Vernal, UT 84078-1907
Phone (435) 789-3342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 621762532016 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3614652401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1912002478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 W 200 N",
"city": "VERNAL",
"state": "UT",
"postal_code": "840781907",
"telephone_number": "435-789-3342",
"fax_number": "435-789-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 W 200 N",
"city": "VERNAL",
"state": "UT",
"postal_code": "840781907",
"telephone_number": "435-789-3342",
"fax_number": "435-789-7892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATON",
"first_name": "ORLANDO",
"middle_name": "G",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "3614652401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "621762532016",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vernal, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.