Elite Healthcare Southern Utah LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10353222-1202 Issued in UT

Legal business name

ELITE HEALTHCARE SOUTHERN UTAH LLC

Practice address

1490 E Foremaster Dr Ste 260
St George, UT 84790-4502

Phone

(435) 627-0231

Fax

(435) 523-3376

NPI assigned

Nov 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Hicken, DC

Title

Clinic Director

Phone

(435) 627-0231

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.

• Benjamin Toolson, DPT

  • Physical Therapist
  • St George, UT
  • NPI 1710349444
  NPD (past)

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1275045080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 E HIDDEN SPRINGS DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847801983",
            "telephone_number": "435-627-0231",
            "fax_number": "435-627-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 260",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904502",
            "telephone_number": "435-627-0231",
            "fax_number": "435-523-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "568 W Telegraph St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "UT",
            "postal_code": "847801206",
            "country_code": "US",
            "telephone_number": "435-627-0231",
            "fax_number": "435-627-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE HEALTHCARE SOUTHERN UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "HICKEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "435-627-0231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "10353222-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevate Functional Health, LLC
• Elevated Counseling and Wellness LLC
• Elevated Mental Health and Wellness Center LLC
• Traci Lynn Eliason
• McKensie Elison
• Lacey Elkington
• Carter Ellis
• Corey Ellis, DO
• Scott Richard Ellis, DDS
• Stephanie Ellis

• Chiropractor in St George, UT
• Providers in St George, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.