HAYDEN ANDERSON (DPT) – Physical Therapist, NPI 1649001025

HAYDEN ANDERSON (DPT) is a healthcare provider. based in Nibley, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 14116626-2401 (UT). The NPI Number for HAYDEN ANDERSON (DPT) is 1649001025

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
HAYDEN ANDERSON (DPT)
NPI
1649001025
Phone
(435) 770-8155
Address
4017 HOLLOW RD
Enumeration Date
8 August 2024
Last Update Date
8 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4352576106
Graduation Year
2024 (2 years ago)
PAC ID
3577095728
Group Practice PAC ID
9830517341
Professional Enrollment ID
I20241014002210
Address ID
UT843372608TR805XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for HAYDEN ANDERSON (DPT)

  • 4017 HOLLOW RD

    NIBLEY, UT 843217965

    Phone: (435) 770-8155

    Type: Mailing

  • 805 W MAIN ST

    TREMONTON, UT 843372607

    Phone: (435) 257-6106

    Type: Location

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: 2024-10-14

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
I20241014002210IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84321)

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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: 9830517341View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

What federal number belongs to HAYDEN ANDERSON (DPT)?
The federal identifier for HAYDEN ANDERSON (DPT) is NPI 1649001025.
Is HAYDEN ANDERSON (DPT)'s NPI currently valid?
The extract we use shows HAYDEN ANDERSON (DPT) as active.
What field does HAYDEN ANDERSON (DPT) work in?
You can think of HAYDEN ANDERSON (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Does HAYDEN ANDERSON (DPT) practice in Utah?
You will see Nibley, Utah on file for HAYDEN ANDERSON (DPT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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