Dustin K Elliott, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3243 Issued in ID

Practice address

1005 W 6TH S
Mountain Home, ID 83647-3339

Phone

(208) 587-1777

Fax

(208) 587-1784

NPI assigned

May 29, 2013

Last updated

May 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McCall Physical Therapy, P.a.

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  • NPI 1750454104
  NPD (past)
• Peak Physical Therapy P C

  • Physical Therapist
  • Boise, ID
  • NPI 1073551560
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1013354109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049015",
            "telephone_number": "208-375-0666",
            "fax_number": "208-375-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W 6TH S",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836473339",
            "telephone_number": "208-587-1777",
            "fax_number": "208-587-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "DUSTIN",
        "middle_name": "K",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT3243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Patrick Doyle, PHARMD
• Joshua Henry Dreschler
• April Marie Eastman, MHW
• Daniel Eichele
• Alisha Elledge, NASM CPT
• Steven Trayce Elliott, D.D.S.
• Elmore County Eyecare, PA.
• Elmore Medical Center
• Elmore Medical Center Hospital District (Elmore Medical Center Long Term Care Unit)
• Elmore Medical Center Hospital District

• Physical Therapist in Mountain Home, ID
• Providers in Mountain Home, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.