Active NPI
Zackary Shaughnessy, PT
- Physical Therapist
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14289646-2401
- Practice address
- 3870 Stadium Way Dept 2701
Ogden, UT 84408-2701 - Phone
- (801) 626-7712
- Fax
- (801) 626-7264
- NPI assigned
- Jul 1, 2026
- 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 | 14289646-2401 | 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) 626-7712
Other practice location 1
2850 N 2000 W Ste 204
Farr West, UT 84404-9230
Phone (801) 731-5421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2850 N 2000
Suite 204
Farr West, UT 84404-9230
2940 E Sherri CT
Gilbert, AZ 85296-8869
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundance Physical Therapy Farr West LLC | Physical Therapist | Current | Accepting new patients |
| Sundance Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
3870 Stadium Way
Dept 2701
Ogden, UT 84408
Phone (801) 626-7128
2850 N 2000 W
Ste 204
Ogden, UT 84404
Phone (801) 731-5421
Organizations & group practices 2
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
- Farr West, UT
- NPI 1093966509
-
- Physical Therapist
- Ogden, UT
- NPI 1932265758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1922925833",
"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": "801-626-7712",
"fax_number": "801-626-7264"
},
{
"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": "801-626-7712",
"fax_number": "801-626-7264"
}
],
"practiceLocations": [
{
"address_1": "2850 N 2000 W Ste 204",
"address_purpose": "LOCATION",
"city": "Farr West",
"state": "UT",
"postal_code": "844049230",
"country_code": "US",
"telephone_number": "801-731-5421",
"fax_number": "801-732-0303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAUGHNESSY",
"first_name": "ZACKARY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-01",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "14289646-2401",
"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 Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.