Dakota Wendel Heaton, DPT
NPI 1255167128ActiveIndividual· Physical Therapist· Provo, UT
Physical Therapist (DPT) in Provo, Utah, licensed in UT, with an NPI issued in September 2024. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1255167128 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Sep 9, 2024 |
| Last updated in NPPES | Nov 27, 2024 |
| Certified by provider | Nov 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 14124870-2401 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (UT) |
|---|
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