ELEVATION PHYSICAL THERAPY (NPI# 1134636269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134636269 |
| Entity Type | Organization |
| Organization Name | ELEVATION PHYSICAL THERAPY |
| Practice Address |
985 W Riverdale Rd Ste 2 Riverdale UT 84405-5601 |
| Practice Telephone | 3854052712 |
| Practice Fax Number | 8885956786 |
| Mailing Telephone | 3854052712 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | DR. JACOB D EREKSON (PT DIRECTOR/OWNER) |
| Authorized Official Telephone | 3854052712 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
7376354-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011387 | Elevation Physical Therapy | Physical Therapist | 128 Middle St, Farmington, ME 04938-6937 | 2020-07-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | ELEVATION PHYSICAL THERAPY | 271 Moulton Rd, Waitsfield, VT 05673 |
| Colorado Business Entities | Elevation Physical Therapy and Sports Performance, LLC | 7847 W 43rd Place, Wheat Ridge, CO 80033 |
| Street Address |
985 W RIVERDALE RD STE 2 |
| City | RIVERDALE |
| State | UT |
| Zip Code | 84405-5601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174593222 | Optima Physical Therapy Inc | Physical Therapist | 808 Commerce Blvd, Suite C2, Riverdale, GA 30296-7192 | 2006-01-23 |
| 1235740630 | Sarah Hicks | Physical Therapist | 69 Newark Pompton Tpke, Riverdale, NJ 07457-1426 | 2020-08-11 |
| 1932642618 | Cyndil Matthew | Physical Therapist | 69 Newark Pompton Tpke, Riverdale, NJ 07457-1426 | 2016-11-29 |
| 1629477609 | Tim Abraham | Physical Therapist | 49 Hamburg Tpke, Riverdale, NJ 07457-1127 | 2014-08-15 |
| 1548492606 | Ganiyu Abiola Bello | Physical Therapist | 808 Commerce Blvd, Suite C2, Riverdale, GA 30296-7192 | 2009-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940670 | Austin Jay Nielsen | Physical Therapist | 155 W Canyon Crest Rd Ste 100, Alpine, UT 84004-2031 | 2019-09-04 |
| 1669934378 | Heidi Olsen Tidwell | Physical Therapist | 1551 Renaissance Towne Dr Ste 420, Bountiful, UT 84010-7677 | 2019-04-02 |
| 1689148454 | Sargent Doil Barnett | Physical Therapist | 822 Turf Farm Rd Unit 3, Payson, UT 84651-5797 | 2019-01-15 |
| 1770054918 | Craft Physical Therapy | Physical Therapist | 537 W 600 S, Salt Lake City, UT 84101-2249 | 2018-12-16 |
| 1902390123 | Andrea Marie Hendricks Harper | Physical Therapist | 98 N 1100 E Ste 402, American Fork, UT 84003-2951 | 2018-06-20 |
| 1568960037 | Northern Holdings | Physical Therapist | 6321 S Redwood Rd Ste 100, Taylorsville, UT 84123-6799 | 2018-01-30 |
| 1336652957 | Brian Lewis Wike I | Physical Therapist | 1868 W 9800 S Ste 200, South Jordan, UT 84095-4713 | 2017-11-06 |
| 1538616230 | Michelle Smith | Physical Therapist | 1794 Olympic Pkwy, Suite 140, Park City, UT 84098-6387 | 2016-09-09 |
| 1558712455 | Tyler Landgren | Physical Therapist | 5349 Adams Ave Pkwy Ste A, Ogden, UT 84405-4736 | 2016-06-22 |
| 1891155057 | Steven Mohlman | Physical Therapist | 39 C St, Springville, UT 84663-2359 | 2016-03-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.