Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy J Whitaker, DPT

Individual provider Physical Therapist · NPI 1568796084

Timothy J Whitaker, DPT is a Physical Therapist in Private Practice in South Ogden, Utah. Qualified in 2009, 17 years ago. Practices with Bridge Physical Therapy LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
17
Licensed in
UT
In the registry since
2009
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

6017A Fashion Point Dr
South Ogden, UT 84403-4851
Phone: (801) 317-1618
Fax: (801) 459-3707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7420114-2401 (UT)

Record details

NPI number1568796084
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 30, 2009
Last updated in NPPESMay 13, 2019
Mailing address6017a Fashion Point Dr, South Ogden, UT 84403-4851

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Bridge Physical Therapy Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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