Elevation Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

7376354-2401 Issued in UT

Legal business name

ELEVATION PHYSICAL THERAPY

Practice address

985 W Riverdale Rd Ste 2
Riverdale, UT 84405-5601

Phone

(385) 405-2712

Fax

(888) 595-6786

NPI assigned

Jan 10, 2018

Last updated

Jan 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacob D Erekson, DPTNPI 1407187867

Title

PT Director/Owner

Phone

(385) 405-2712

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob D Erekson, DPT

  • Physical Therapy Clinic/Center
  • Taylorsville, UT
  • NPI 1407187867
  NPD Authorized official

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1134636269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 W RIVERDALE RD STE 2",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844055601",
            "telephone_number": "385-405-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 W RIVERDALE RD STE 2",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844055601",
            "telephone_number": "385-405-2712",
            "fax_number": "888-595-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "EREKSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PT DIRECTOR/OWNER",
        "authorized_official_telephone_number": "385-405-2712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "7376354-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Dugan, RBT
• McKinley Lynn Duncan
• Sarah Durbano
• Alex Eddy, BCBA
• Kelly Ensign Ehlers, CMHC
• Empowered Bodywork & Wellness
• Diamantina Jean Esquivel, RBT
• Eye Pros of Ogden (Eye Pros)
• Eyecare Wellness Clinic P.L.L.C.
• Mikenzy Fergus

• Orthopedic Physical Therapist in Riverdale, UT
• Providers in Riverdale, UT by specialty
• Orthopedic Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.