TIMOTHY J WHITAKER (D.P.T.) – Physical Therapist, NPI 1568796084

TIMOTHY J WHITAKER (D.P.T.) is a healthcare provider. based in South ogden, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials D.P.T.. They hold a License No. 7420114-2401 (UT). The NPI Number for TIMOTHY J WHITAKER (D.P.T.) is 1568796084

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J WHITAKER (D.P.T.)
NPI
1568796084
Phone
(801) 317-1618
Address
6017A FASHION POINT DR
Enumeration Date
30 September 2009
Last Update Date
13 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013171618
Graduation Year
2009 (17 years ago)
PAC ID
1052505526
Group Practice PAC ID
9931456175
Professional Enrollment ID
I20101028000597
Address ID
UT844034851SO6017XDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

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Provider Addresses for TIMOTHY J WHITAKER (D.P.T.)

  • Fashion Point Drive, South Ogden, Weber County, Utah, 84405, United States

    SOUTH OGDEN, UT 844034851

    Phone: (801) 317-1618

    Fax: (801) 459-3707

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101028000597IPhysical Therapist In Private PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes91566$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes66867$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes53160$0
97530Therapy procedure using functional activities43759$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care42057$0
View full utilization report →

Insurance plans in this area (ZIP 84403)

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Provider's Procedures

TIMOTHY J WHITAKER (D.P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYUT97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes42948
PHYSICAL THERAPYUT97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes44949

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931456175View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

What is the standard ID for TIMOTHY J WHITAKER (D.P.T.) in the U.S.?
In the U.S., TIMOTHY J WHITAKER (D.P.T.) is identified by NPI 1568796084.
Quick check: is TIMOTHY J WHITAKER (D.P.T.) active?
Public NPPES data shows TIMOTHY J WHITAKER (D.P.T.) with an active NPI status right now.
What type of care does TIMOTHY J WHITAKER (D.P.T.) provide?
TIMOTHY J WHITAKER (D.P.T.)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is TIMOTHY J WHITAKER (D.P.T.) tied to South Ogden, Utah?
If you are local to South Ogden, Utah, TIMOTHY J WHITAKER (D.P.T.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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