Elise Marie Itano, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

0062819 Issued in CO

Practice address

6810 10TH St
Greeley, CO 80634-8254

Phone

(717) 731-9660

NPI assigned

May 19, 2014

Sex

Female

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

University of Texas Southwestern Medical School at Dallas, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gold Physical Medicine and Rehabilitation PCGroup PAC ID 9133479546, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capron Neuro and Trauma Rehabilitation Center Inpatient rehabilitation facility, Colorado Springs, CO, CCN 06T031
• Pam Health Rehabilitation Hospital of Greeley Inpatient rehabilitation facility, Greeley, CO, CCN 063039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Gold Physical Medicine and Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1861986465

  CO

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1801436415

  Inpatient rehabilitation facility

  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • Rehabilitation Hospital Unit
  • Colorado Springs, CO
  • NPI 1841203031

  Inpatient rehabilitation facility

  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1932112125

  Inpatient rehabilitation facility

  Care Compare affiliation
• Pam Rehabilitation Hospital of Greeley LLC

  • Rehabilitation Hospital
  • Greeley, CO
  • NPI 1558059428

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1225449754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 XAVIER ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122421",
            "telephone_number": "210-367-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348254",
            "telephone_number": "717-731-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITANO",
        "first_name": "ELISE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "0062819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Isaguirre, MA, LPCC
• Anne Iseminger, RPH
• Island Grove Regional Treatment Center
• Island Grove Regional TRT Center
• Natacha Iszler, M. ED
• Brandi Leigh Jack, MA, LAC, LPC
• Amy Michele Jackson
• Annika Elise Jackson
• Deandre Jackson Jr.
• Jayden Jackson

• All providers in Greeley, CO
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.