Carol Herzog, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

113732-2401 Issued in UT

Practice address

349 12TH St
Ogden, UT 84404-5712

Phone

(801) 393-0900

Fax

(801) 394-6130

NPI assigned

Aug 11, 2006

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

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.

• KFDD Physical Therapy & Sports Medicine Clinic

  • Physical Therapist
  • Ogden, UT
  • NPI 1013028505
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922010982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 12TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844045712",
            "telephone_number": "801-393-0900",
            "fax_number": "801-394-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 12TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844045712",
            "telephone_number": "801-393-0900",
            "fax_number": "801-394-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "113732-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Hernandez
• Maria Hernandez
• George Heron, EP
• Brianna Herre
• Michael Jay Herrin
• Valerie Wirth Herzog, EDD, ATC
• Kathleen Christenson Heslop, FNP-C
• Susan Heugly
• Christie Hewlett
• Tempest Hiatt

• Physical Therapist in Ogden, UT
• Providers in Ogden, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.